Individual provider Active NPI

Sarah Elizabeth Johnson, APRN

  • Primary Care Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1790207124
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
112272 Issued in NE
Practice address
2444 W Faidley Ave
Grand Island, NE 68803-4327
Phone
(308) 382-1100
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 112272 NE Primary

Addresses

Primary practice location

2444 W Faidley Ave
Grand Island, NE 68803-4327

Mailing address

547 E 12TH St
Grand Island, NE 68801-3874
Phone (402) 640-0873

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
I20170809000503 NE Practitioner - Nurse Practitioner 7012288038 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Island Regional Medical CenterGroup PAC ID 0143659508, 29 clinicians

Practice addresses (Care Compare)

3533 Prairieview St
Grand Island, NE 68803-4409
Phone (308) 675-5000

Hospital & facility affiliations

  • Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112272NEMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Regional Medical Center CurrentSince Jan 12, 2026 Accepting new patients
Grand Island Clinic Inc CurrentSince Sep 1, 2017 Accepting new patients
Grand Island Clinic Inc Past Accepting new patients
Grand Island Regional Medical Center Past Accepting new patients

Locations

2444 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-1100

3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557

723 N Custer Ave
Grand Island, NE 68803
Phone (308) 381-9839

Interoperability endpoints

  • Direct secure messaging: sarahjohnson@gici.allscriptsdirect.net

Organizations & group practices 4

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 1

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790207124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 E 12TH ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688013874",
            "telephone_number": "402-640-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 W FAIDLEY AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034327",
            "telephone_number": "308-382-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "112272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.