Individual provider Active NPI

Jennifer Lynn Johnson, CNP

  • Nurse Practitioner
  • Fairfield Township, OH
National Provider Identifier
1740928159
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0031282 Issued in OH
Practice address
4195 Hamilton Mason Rd
Fairfield Township, OH 45011-5415
Phone
(513) 868-2266
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0031282 OH Primary

Addresses

Primary practice location

4195 Hamilton Mason Rd
Fairfield Township, OH 45011-5415

Mailing address

383 Gatewood CT
Hamilton, OH 45013-6635
Phone (513) 939-6558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20221004002976 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 2466838198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carespring NP, LLCGroup PAC ID 3476714718, 14 clinicians

Practice addresses (Care Compare)

390 Wards Corner Rd
Loveland, OH 45140-6969
Phone (513) 943-4000

Merit-based Incentive Payment System (MIPS)

Final score
98.63 of 100Reported as group
Quality
95
Improvement activities
40
Cost
68.77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Feb 6, 2025 Accepting new patients
Carespring NP, LLC Nurse Practitioner CurrentSince Jul 19, 2022 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

4400 Gleneste Withamsville Rd
Cincinnati, OH 45245
Phone (513) 752-3710

4195 Hamilton Mason Rd
Fairfield Township, OH 45011
Phone (513) 688-2266

1302 Millville Ave
Hamilton, OH 45013
Phone (513) 867-4100

390 Wards Corner Rd
Loveland, OH 45140

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1740928159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 GATEWOOD CT",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450136635",
            "telephone_number": "513-939-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 HAMILTON MASON RD",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115415",
            "telephone_number": "513-868-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0031282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield Township, OH

Sources for this page

Verify at the official NPI Registry.