Individual provider Active NPI

Ashley R Johnson, REGISTERED NURSE

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1760197495
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014073A Issued in IN
Practice address
2100 N Main St # 304
Crown Point, IN 46307-1877
Phone
(574) 546-1900
Fax
(574) 546-1999
NPI assigned
Jan 17, 2023
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-85272-081 KS
Family Nurse Practitioner 363LF0000X 4064494 KY
Family Nurse Practitioner 363LF0000X 42978 TN
Registered Nurse 163W00000X 28236890A IN
Family Nurse Practitioner 363LF0000X 71014073A IN Primary
Family Nurse Practitioner 363LF0000X 4704452928 MI
Family Nurse Practitioner 363LF0000X 1247529 TX
Family Nurse Practitioner 363LF0000X APRN.CNP.0043594 OH

Addresses

Primary practice location

2100 N Main St # 304
Crown Point, IN 46307-1877

Mailing address

1444 Southview Dr
Indianapolis, IN 46227-5028
Phone (317) 625-6945

Other practice location 1

675 Town Square Blvd Ste 200
Garland, TX 75040-2991
Phone (574) 546-1900

Other practice location 2

3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Phone (574) 546-1900

Other practice location 3

21 E State St Ste 200
Columbus, OH 43215-0109
Phone (574) 546-1900

Other practice location 4

1444 Southview Dr
Indianapolis, IN 46227-5028
Phone (317) 625-6945

Other practice location 5

12345 W 95th St Fl 2
Lenexa, KS 66215-3853
Phone (574) 546-1900

Other practice location 6

6000 Poplar Ave Ste 250
Memphis, TN 38119-3974
Phone (574) 546-1900

Other practice location 7

1650 W End Blvd Ste 100
St Louis Park, MN 55416-5369
Phone (574) 546-1900

Other practice location 8

312 S 4th St Ste 700
Louisville, KY 40202-3046
Phone (574) 546-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MO, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230817001155 IN Practitioner - Nurse Practitioner 3870955297 Reassigns benefits to 1 organization
I20260410001290 MO Practitioner - Nurse Practitioner 3870955297 Reassigns benefits to 1 organization
I20260423002095 KS Practitioner - Nurse Practitioner 3870955297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guidestar Eldercare Corp - KSGroup PAC ID 9638665904, shared by 2 NPIs, 13 clinicians
Neurology and Pain Management Associates PCGroup PAC ID 4486676095, 86 clinicians

Practice addresses (Care Compare)

Columbia, MO 65203
Phone (574) 546-1900

2100 N Main St
Suite 304
Crown Point, IN 46307-1877
Phone (574) 546-1900

6501 W 75TH St
Overland Park, KS 66204-3017
Phone (574) 546-1900

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
80.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28236890AINMDRegistered Nurse
71014073AINMDFamily Nurse Practitioner
53-85272-081KSMDFamily Nurse Practitioner
42978TNMDFamily Nurse Practitioner
1247529TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology and Pain Management Associates PC Family CurrentSince Aug 21, 2023 Accepting new patients

Locations

601 W County Road 200 S
New Castle, IN 47362
Phone (765) 529-5796

20 John Kissinger Dr
Wabash, IN 46992
Phone (260) 274-0444

851 Kimsey Ln
Henderson, KY 42420
Phone (270) 295-6450

50 Sanderson Ln
Coldwater, MI 49036
Phone (517) 279-9587

41000 W 13 Mile Rd
Novi, MI 48377
Phone (248) 360-4327

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1760197495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 SOUTHVIEW DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462275028",
            "telephone_number": "317-625-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST # 304",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071877",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 Town Square Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750402991",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Greenfield Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481201805",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 E State St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432150109",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1444 Southview Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462275028",
            "country_code": "US",
            "telephone_number": "317-625-6945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12345 W 95th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662153853",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Poplar Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193974",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 W End Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554165369",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 S 4th St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023046",
            "country_code": "US",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ASHLEY",
        "middle_name": "R",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-85272-081",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4064494",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "42978",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28236890A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014073A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704452928",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1247529",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0043594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.