Individual provider Active NPI

Stephanie Erin Johnson, APRN FNP-C

  • Family Nurse Practitioner
  • Martin, KY
National Provider Identifier
1902458987
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3013597 Issued in KY
Practice address
11087 Main St
Martin, KY 41649-7999
Phone
(606) 285-3690
Fax
(606) 285-1443
NPI assigned
Jul 10, 2019
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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 3013597 KY Primary

Addresses

Primary practice location

11087 Main St
Martin, KY 41649-7999

Mailing address

11087 Main St
Martin, KY 41649-7999
Phone (606) 285-3690

Other practice location 1

11203 Main St
Martin, KY 41649-7999
Phone (606) 285-6400

Other practice location 2

400 University Dr Ste 208
Prestonsburg, KY 41653-1080
Phone (606) 886-1202

Other identifiers 1

IdentifierTypeStateIssuer
7100609640MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephaniejohnson@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20191216000934 KY Practitioner - Nurse Practitioner 9335573823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12579 Main St
Suite 101
Martin, KY 41649-7400
Phone (606) 285-0681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.57 of 100Reported as group
Quality
50.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jun 12, 2020 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Aug 17, 2020 Accepting new patients
Appalachian Regional Healthcare, Inc Family Current Accepting new patients
Arh Tug Valley Health Services, Inc. Family CurrentSince Oct 6, 2019 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Jun 12, 2020 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Family Past Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

24 Left Penhook Rd
Harold, KY 41635
Phone (606) 478-8787

100 Airport Gardens Rd
Ste 311
Hazard, KY 41701
Phone (606) 439-6978

77 Millard Allen Dr E
Lackey, KY 41643
Phone (606) 358-2381

11087 Main St
Martin, KY 41649
Phone (606) 285-3690

11203 Main St
Martin, KY 41649
Phone (606) 285-5181

713 Broadway St
Ste 103
Paintsville, KY 41240
Phone (606) 372-1400

400 University Dr
Ste 208
Prestonsburg, KY 41653
Phone (606) 886-1202

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

5000 Ky Route 321
Ste 2127
Prestonsburg, KY 41653
Phone (606) 889-6160

186 Brenna Blvd
Ste 100
Salyersville, KY 41465
Phone (606) 349-3800

2662 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 358-4211

Interoperability endpoints

  • Direct secure messaging: stephaniejohnson@arh.medalliesdirect.net

Organizations & group practices 9

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.

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1902458987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11087 MAIN ST",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416497999",
            "telephone_number": "606-285-3690",
            "fax_number": "606-285-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11087 MAIN ST",
            "city": "MARTIN",
            "state": "KY",
            "postal_code": "416497999",
            "telephone_number": "606-285-3690",
            "fax_number": "606-285-1443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11203 Main St",
            "address_purpose": "LOCATION",
            "city": "Martin",
            "state": "KY",
            "postal_code": "416497999",
            "country_code": "US",
            "telephone_number": "606-285-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 University Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531080",
            "country_code": "US",
            "telephone_number": "606-886-1202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "ERIN",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100609640",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephaniejohnson@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "11087 Main St",
            "city": "Martin",
            "state": "KY",
            "country_code": "US",
            "postal_code": "416497999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martin, KY

Sources for this page

Verify at the official NPI Registry.