Antoinette Marie Johnson, CNP
Individual provider Active NPI Family Nurse Practitioner · Bellbrook, OH
NPI 1760153357 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1760153357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.0028361 (OH)
- Practice address
- 4403 W Franklin St Ste D
Bellbrook, OH 45305-2700 - Phone
- (937) 848-9010
- NPI assigned
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.94 of 100
- Quality
- 80.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 79.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211020002034 | OH | Practitioner - Nurse Practitioner | 2567850779 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Group, Inc. | Current |
Accepting new patients | |
| Dayton Children'S Specialty Physicians, Inc. | Current |
Accepting new patients | |
| Dayton Children'S Hospital | Current |
Accepting new patients | |
| Providence Medical Group | Current | Accepting new patients | |
| Dayton Children'S Specialty Physicians, Inc. | Current |
Accepting new patients | |
| Dayton Children'S Hospital | Past | Accepting new patients | |
| Samaritan Family Care, Inc. | Past | Accepting new patients |
Locations
3301 Dayton Xenia Rd
Ste 200
Beavercreek, OH 45432
Phone (937) 641-5098
4403 W Franklin St
Ste D
Bellbrook, OH 45305
Phone (937) 848-9010
1989 Miamisburg Centerville Rd
Ste 301
Dayton, OH 45459
Phone (937) 434-7353
38 Woodcroft Trl
Dayton, OH 45430
Phone (937) 427-3333
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
6044 Wilmington Pike
Dayton, OH 45459
Phone (937) 641-3270
1711 Germantown St
Dayton, OH 45417
Phone (937) 641-3142
2320 Beechwood Dr
Germantown, OH 45327
Phone (937) 895-4092
8501 Old Troy Pike
Huber Heights, OH 45424
Phone (937) 233-1095
8701 Troy Pike
Ste 20
Huber Heights, OH 45424
Phone (937) 233-7146
3313 Wilmington Pike
Kettering, OH 45429
Phone (937) 298-8084
4475 Far Hills Ave
Kettering, OH 45429
Phone (937) 641-3141
967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330
8809 Wilkens Blvd
Mason, OH 45040
Phone (513) 701-6907
3333 W Tech Rd
Miamisburg, OH 45342
Phone (937) 641-3400
2912 Springboro W
Ste 201
Moraine, OH 45439
Phone (937) 297-8996
70 Remick Blvd
Springboro, OH 45066
Phone (937) 885-0701
662 N Main St
Springboro, OH 45066
Phone (937) 641-5066
400 Corporate Center Dr
Vandalia, OH 45377
Phone (937) 410-3838
792 Northwoods Blvd
Vandalia, OH 45377
Phone (937) 641-4236
7787 Cox Ln
West Chester, OH 45069
Phone (513) 644-8081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0028361 | OH | Yes |
Addresses
Primary practice location
4403 W Franklin St Ste D
Bellbrook, OH 45305-2700
Mailing address
2912 Springboro W Ste 201
Moraine, OH 45439-1674
Phone (937) 297-8999
Other practice location 1
7787 Cox Ln
West Chester, OH 45069-6549
Phone (513) 644-8081
Other practice location 2
8501 Old Troy Pike
Huber Heights, OH 45424-1054
Phone (937) 641-4360
Other practice location 3
1 Childrens Plz
Dayton, OH 45404-1873
Phone (937) 641-3600
Other practice location 4
3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-5725
Other practice location 5
1711 Germantown Pike
Dayton, OH 45417
Phone (937) 641-3142
Other practice location 6
3301 Dayton Xenia Rd Ste 200
Beavercreek, OH 45432-2759
Phone (937) 641-5098
Other practice location 7
792 Northwoods Blvd
Vandalia, OH 45377-9462
Phone (937) 641-4236
Other practice location 8
6044 Wilmington Pike
Dayton, OH 45459-7006
Phone (937) 641-3270
Other practice location 9
662 N Main St
Springboro, OH 45066-9553
Phone (937) 641-5066
Other practice location 10
4475 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 641-3141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0464636 | Medicaid | OH |
Other providers in Bellbrook, OH
- Katherine Imwalle
- Integrative Health and Sports Performance, LLC
- Integrity Hospice and Health Inc
- Kayleigh Izor
- Jila S Waikhom M D &Associates Inc
- Tracie Lynn Johnson
- Joy in the Balance, LLC
- Jennifer Grace Kaffenberger
- Keith a. Huelsman OD Inc
- Kind Mind Counseling LLC
All providers in Bellbrook, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.