Individual provider Active NPI

Stefani Johnston, NP

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1831189554
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71000852A Issued in IN
Practice address
201 N Illinois St
Indianapolis, IN 46204-1904
Phone
(260) 705-8544
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71000852A IN Primary
Registered Nurse 163W00000X 28113743A IN

Addresses

Primary practice location

201 N Illinois St
Indianapolis, IN 46204-1904

Mailing address

201 N Illinois St
Indianapolis, IN 46204-1904
Phone (260) 705-8544

Other practice location 1

12219 Driftwood Pt
Fort Wayne, IN 46845-6912
Phone (260) 705-8544

Other identifiers 1

IdentifierTypeStateIssuer
200338290MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090318000087 IN Practitioner - Nurse Practitioner 5092872150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron Memorial Community Hospital IncGroup PAC ID 9234020835, shared by 8 NPIs, 83 clinicians

Practice addresses (Care Compare)

2510 E Dupont Rd
Suite 112 Cameron Obstetrics and Gynecology
Fort Wayne, IN 46825-1602
Phone (260) 667-5670

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28113743AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Memorial Community Hospital, Inc. CurrentSince Oct 15, 2018 Accepting new patients
Cameron Memorial Community Hospital, Inc CurrentSince Oct 15, 2018 Accepting new patients
Cameron Memorial Community Hospital Inc Past Accepting new patients

Locations

306 E Maumee St
Ste 101
Angola, IN 46703
Phone (260) 432-8647

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

2510 E DuPont Rd
Ste 112
Fort Wayne, IN 46825
Phone (260) 471-5980

Interoperability endpoints

  • Direct secure messaging: sjohnston7280@direct.parkviewexchange.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1831189554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N ILLINOIS ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041904",
            "telephone_number": "260-705-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N ILLINOIS ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462041904",
            "telephone_number": "260-705-8544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12219 Driftwood Pt",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468456912",
            "country_code": "US",
            "telephone_number": "260-705-8544",
            "fax_number": "260-705-8544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "STEFANI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71000852A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28113743A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200338290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.