Kelly Marlene Johnson, APRN NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

101147 Issued in OK

Practice address

1320 E Oklahoma Ave
Guthrie, OK 73044-3757

Phone

(405) 282-6285

Fax

(405) 282-5731

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

NR Stillwater LLCGroup PAC ID 9830634419, 3 clinicians

Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health of East Oklahoma Home health agency, Broken Arrow, OK, CCN 377171
• Complete Home Health of Western Oklahoma Home health agency, Enid, OK, CCN 377167

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19281/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NR Stillwater LLC

  • Physical Medicine & Rehabilitation Physician
  • Stillwater, OK
  • NPI 1518708635
  Medicare reassignment Care Compare group NPD
• Ennoble HC NJ PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1306500764

  OK

  Medicare reassignment Care Compare group NPD
• Physician Housecalls LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1528480811
  Medicare reassignment NPD
• Ennoble HC NJ II PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1871475806

  OK

  Medicare reassignment NPD
• Ennoble HC NJ III PC

  • Geriatric Medicine (Family Medicine) Physician
  • Hackensack, NJ
  • NPI 1043192099

  OK

  Medicare reassignment NPD

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

• Fairview Home Health LLC

  • Home Health Agency
  • Enid, OK
  • NPI 1174519102
  Care Compare affiliation
• Five Star Home Health, Inc.

  • Home Health Agency
  • Broken Arrow, OK
  • NPI 1851359194
  Care Compare affiliation

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1700345345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 UNIVERSITY PLZ STE 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016211",
            "telephone_number": "551-295-8223",
            "fax_number": "405-282-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E OKLAHOMA AVE",
            "city": "GUTHRIE",
            "state": "OK",
            "postal_code": "730443757",
            "telephone_number": "405-282-6285",
            "fax_number": "405-282-5731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3209 S Broadway Ste 229",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730134064",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Hefner Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731146631",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "MARLENE",
        "name_prefix": "Mrs.",
        "credential": "APRN NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "101147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjohnson@companionhealth.net",
            "affiliation": "N",
            "address_1": "1320 E Oklahoma Ave",
            "city": "Guthrie",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730443757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Riley Jones
• Teresa Jamette Jones
• Tonya Lee Jones, LPN
• Vanessa M Jones, RN,MINISTER,HERBALIS

• Nurse Practitioner in Guthrie, OK
• Providers in Guthrie, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; 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.

Verify at the official NPI Registry.