Individual provider Active NPI

Ann Elizabeth Johnson, APRN

  • Women's Health Nurse Practitioner
  • Kearney, NE
National Provider Identifier
1710973680
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
110249 Issued in NE
Practice address
101 W 24TH St
Kearney, NE 68847-5358
Phone
(308) 865-2740
Fax
(308) 865-2747
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 110249 NE Primary

Addresses

Primary practice location

101 W 24TH St
Kearney, NE 68847-5358

Mailing address

101 W 24TH St
Kearney, NE 68847-5358
Phone (308) 865-2740

Other identifiers 1

IdentifierTypeStateIssuer
47056223401MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20090415000182 NE Practitioner - Nurse Practitioner 7315094067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Contemporary Obstetrics and Gynecology PCGroup PAC ID 1254488901, 7 clinicians

Practice addresses (Care Compare)

3500 Central Ave
Suite a
Kearney, NE 68847-2963
Phone (308) 865-2740

Hospital & facility affiliations

  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Contemporary Obstetrics & Gynecology PC CurrentSince Jul 10, 2008 Accepting new patients
Choice Family Health Care Inc. PastSince Jun 2, 2015 Accepting new patients
Unmc Physicians Past Accepting new patients

Locations

101 W 24th St
Kearney, NE 68847
Phone (308) 251-5035

101 W 24th St
Ste 1
Kearney, NE 68847
Phone (308) 865-2740

3500 Central Ave
Ste A
Kearney, NE 68847
Phone (308) 237-2273

3500 Central Ave
Kearney, NE 68847
Phone (308) 234-2506

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20449/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ann.johnson.1@20449.direct.athenahealth.com
  • Direct secure messaging: ann.johnson@cobgyn.directbygreenway.com

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 and National Provider Directory roles.

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1710973680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 24TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475358",
            "telephone_number": "308-865-2740",
            "fax_number": "308-865-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 24TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475358",
            "telephone_number": "308-865-2740",
            "fax_number": "308-865-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANN",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NE",
            "license": "110249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47056223401",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.