Individual provider Active NPI

Kelly Christine Johnson, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1851932404
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002883 Issued in FL
Practice address
7319 Stonerock Cir # 106
Orlando, FL 32819-8002
Phone
(407) 248-9800
NPI assigned
Oct 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002883 FL Primary

Addresses

Primary practice location

7319 Stonerock Cir # 106
Orlando, FL 32819-8002

Mailing address

7319 Stonerock Cir # 106
Orlando, FL 32819-8002
Phone (407) 248-9800

Other practice location 1

921 Stetson St
Orlando, FL 32804-5768
Phone (727) 432-6035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200402000109 FL Practitioner - Nurse Practitioner 6002245677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

3885 Oakwater Cir
Orlando, FL 32806-6257
Phone (407) 851-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11002883FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Pulmonary Group PA CurrentSince Jul 1, 2021 Accepting new patients
Gastro Health, LLC CurrentSince Dec 1, 2022 Accepting new patients
Gastro Health, LLC CurrentSince Dec 1, 2022 Accepting new patients
Gastro Health LLC Current Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients

Locations

610 Jasmine Rd
Altamonte Springs, FL 32701
Phone (407) 385-1332

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

326 N Mills Ave
Orlando, FL 32803
Phone (407) 841-1100

7319 Stonerock Cir
Ste 106
Orlando, FL 32819
Phone (407) 248-9800

1115 E Ridgewood St
Orlando, FL 32803
Phone (407) 841-1100

3885 Oakwater Cir
Orlando, FL 32806
Phone (407) 816-5700

7243 Della Dr
Orlando, FL 32819
Phone (407) 381-7366

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kelly.johnson@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 5

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 3

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": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1851932404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 STONEROCK CIR # 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198002",
            "telephone_number": "407-248-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 STONEROCK CIR # 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198002",
            "telephone_number": "407-248-9800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Stetson St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328045768",
            "country_code": "US",
            "telephone_number": "727-432-6035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.