Active NPI
Lindsay Ellen Johnson, MSN, NP-C
- Family Nurse Practitioner
- Noblesville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71005161A
- Practice address
- 9669 E 146TH St Ste 250a
Noblesville, IN 46060-5006 - Phone
- (317) 621-4657
- NPI assigned
- Oct 6, 2014
- Last updated
- Dec 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71005161A | IN | Primary |
Addresses
Primary practice location
9669 E 146TH St Ste 250a
Noblesville, IN 46060-5006
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
2101 Jackson St Ste 206
Anderson, IN 46016-4388
Phone (765) 646-8523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201259150 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 Medical Arts Blvd
Suite 300
Anderson, IN 46011-3439
Phone (765) 563-2843
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005161A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Jane Pauley Community Health Center Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
1210 Medical Arts Blvd
Ste 300
Anderson, IN 46011
Phone (765) 298-4550
1503 N Mitthoefer Rd
Indianapolis, IN 46229
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
8931 E 30th St
Indianapolis, IN 46219
Phone (317) 355-9320
9669 E 146th St
Ste 250
Noblesville, IN 46060
Phone (317) 621-4657
9669 E 146th St
Ste 250A
Noblesville, IN 46060
Phone (317) 621-1340
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1730488818
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anderson, IN
- NPI 1972500452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1669875605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9669 E 146TH ST STE 250A",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460605006",
"telephone_number": "317-621-4657"
}
],
"practiceLocations": [
{
"address_1": "2101 Jackson St Ste 206",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "IN",
"postal_code": "460164388",
"country_code": "US",
"telephone_number": "765-646-8523",
"fax_number": "765-640-8320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LINDSAY",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "MSN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71005161A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201259150",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.