Kelly Denise Johnson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71009618A Issued in IN

Practice address

5023 E 56TH St Ste 110
Indianapolis, IN 46226-1471

Phone

(317) 565-7217

NPI assigned

Jan 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Kelly Denise Crowe Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NV, IN, OR, TX4 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 4

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jonathan Larson MD PC

  • Adult Health Nurse Practitioner
  • Columbus, OH
  • NPI 1487334843

  IN, NV, OR

  Medicare reassignment NPD
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1881158236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5216 FAWN HILL CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261412",
            "telephone_number": "702-323-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5023 E 56TH ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261471",
            "telephone_number": "317-565-7217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1980 E 116th St Ste 315",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460323517",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Green Valley Pkwy Ste 213",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890746177",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "635 Main St Ste 206A",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016007",
            "country_code": "US",
            "telephone_number": "949-484-9517",
            "fax_number": "949-569-1295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "DENISE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1207717",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009618A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202202031NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "818071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.postitiveenergyhealth.org",
            "affiliation": "N",
            "address_1": "5023 E 56th St Ste 110",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462261471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.doximity.com/pub/kelly-johnson-np-d665e833",
            "affiliation": "N",
            "address_1": "5023 E 56th St Ste 110",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462261471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "CROWE",
            "middle_name": "DENISE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen A Johnson, NP
• Katelyn Marie Johnson, PA-C
• Kathleen Johnson, RBT
• Kaylee Johnson
• Kelly Johnson, RBT
• Kelsey Johnson
• Kendra V Johnson, LCSW
• Kenneth Clark Johnson, P.T.
• Khalilia Johnson
• Kim Johnson, MHR, D.MIN, CSAYC

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.