Angela Rene Johnson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

53-79303-121 Issued in KS

Practice address

1230 E 6TH Ave Ste 1B
Winfield, KS 67156-3144

Phone

(620) 221-4000

NPI assigned

Nov 20, 2019

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William Newton Memorial HospitalGroup PAC ID 5294648937, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Chanute, KS, CCN 178060
• Interim Healthcare of Wichita Home health agency, Wichita, KS, CCN 177090
• William Newton Hospital Hospital, Winfield, KS, CCN 171383
• SCK Health Hospital, Arkansas City, KS, CCN 170779

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/wnewton-396b17e2

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.

• William Newton Memorial Hospital

  • Critical Access Hospital
  • Winfield, KS
  • NPI 1548229149
  Medicare reassignment Care Compare group NPD
• William Newton Memorial Hospital

  dba William Newton Hillside Family Medicine

  • Rural Health Clinic/Center
  • Winfield, KS
  • NPI 1003473554
  NPD
• William Newton Memorial Hospital

  dba William Newton Surgery and Specialty

  • Surgery Physician
  • Winfield, KS
  • NPI 1659636579
  NPD
• William Newton Memorial Hospital

  dba Udall Rural Health Clinic

  • Multi-Specialty Clinic/Center
  • Udall, KS
  • NPI 1720736663
  NPD
• William Newton Memorial Hospital

  dba Health Professionals of Winfield

  • Rural Health Clinic/Center
  • Winfield, KS
  • NPI 1003924762
  NPD (past)
• William Newton Memorial Hospital

  • Skilled Nursing Facility
  • Winfield, KS
  • NPI 1568422921
  NPD (past)

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

• Interim Health Care of Wichita Inc

  dba Interim Health Care

  • Home Health Agency
  • Wichita, KS
  • NPI 1548264229
  Care Compare affiliation
• South Central Kansas Regional Medical Center

  dba South Central Kansas Medical Center

  • Rural Acute Care Hospital
  • Arkansas City, KS
  • NPI 1609842681
  Care Compare affiliation
• Wheatland Health Services, LLC

  dba Angels Care Home Health

  • Home Health Agency
  • Chanute, KS
  • NPI 1275591760
  Care Compare affiliation
• William Newton Memorial Hospital

  • Critical Access Hospital
  • Winfield, KS
  • NPI 1548229149
  Care Compare affiliation

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1770129140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E 6TH AVE STE 1B",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563144",
            "telephone_number": "620-221-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E 6TH AVE STE 1B",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563144",
            "telephone_number": "620-221-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELA",
        "middle_name": "RENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-79303-121",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14-144413-121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Huntoon
• Integrity Imaging PA
• Shanell Renea Isom, ARNP
• Richard James, DPM
• Rusty Todd Jarboe
• Anthony Johnstone, MD
• Terry Gene Jones, M.D.
• Jennifer Joseph, LMLP
• Annapurna Sravya Kalagarla
• Kansas Medical LLC

• Family Nurse Practitioner in Winfield, KS
• Providers in Winfield, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.