Individual provider Active NPI

Elizabeth Quinn Johnston, NP

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1689960288
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2029382 Issued in FL
Practice address
21297 Olean Blvd Ste a
Port Charlotte, FL 33952-6704
Phone
(855) 979-5700
Fax
(855) 979-5701
NPI assigned
Jun 22, 2011
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2029382 FL Primary

Addresses

Primary practice location

21297 Olean Blvd Ste a
Port Charlotte, FL 33952-6704

Mailing address

2675 Winkler Ave FL 2Floor
Fort Myers, FL 33901-9342
Phone (877) 856-3774

Other identifiers 1

IdentifierTypeStateIssuer
Y08LQOtherFLFL BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, RI, VA, OH, IL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20110901000677 FL Practitioner - Nurse Practitioner 6002086915 Reassigns benefits to 2 organizations
I20201026002756 RI Practitioner - Nurse Practitioner 6002086915 Reassigns benefits to 1 organization
I20241224000972 VA Practitioner - Nurse Practitioner 6002086915 Reassigns benefits to 1 organization
I20251014001222 OH Practitioner - Nurse Practitioner 6002086915 Reassigns benefits to 1 organization
I20251121003186 IL Practitioner - Nurse Practitioner 6002086915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Spring Physician Services, LLCGroup PAC ID 1254689482, 89 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Hospital Medicine Associates LLCGroup PAC ID 9234156985, 208 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

2315 Aaron St
Port Charlotte, FL 33952-5305
Phone (941) 613-2222

25 Wells St
Westerly, RI 02891-2922
Phone (401) 348-3325

272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500

999 Vanderbilt Beach Rd
Suite 200
Naples, FL 34108-3512
Phone (480) 214-9052

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2029382FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince Apr 1, 2012 Accepting new patients
Lake Spring Physician Services, LLC CurrentSince Nov 5, 2024 Accepting new patients
Millennium Physician Group LLC CurrentSince Apr 1, 2012 Accepting new patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp CurrentSince Jul 31, 2025 Accepting new patients
Natalia Capote MD LLC PastSince Feb 1, 2024 Accepting new patients

Locations

13681 Doctors Way
Rm 18027
Fort Myers, FL 33912
Phone (239) 210-4247

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

1735 SW Health Pkwy
Ste 201
Naples, FL 34109
Phone (239) 249-7800

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

2315 Aaron St
Port Charlotte, FL 33952
Phone (941) 613-2222

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

200 Corporate Blvd
Lafayette, LA 70508

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ejohnston485310@direct.ynhh.org
  • Direct secure messaging: elizabeth.johnston@398008301912068.direct.elationemr.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1689960288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 WINKLER AVE FL 2FLOOR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019342",
            "telephone_number": "877-856-3774",
            "fax_number": "239-599-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21297 OLEAN BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526704",
            "telephone_number": "855-979-5700",
            "fax_number": "855-979-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ELIZABETH",
        "middle_name": "QUINN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2029382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC",
            "identifier": "Y08LQ",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.