Active NPI
Johnna McKelvey Wilson, D.O.
- Pediatric Critical Care Medicine Physician
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 02007225A
- Practice address
- 4011 Gateway Blvd
Newburgh, IN 47630-8947 - Phone
- (812) 842-3880
- Fax
- (812) 842-3916
- NPI assigned
- Mar 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 02007225A | IN | Primary |
| Pediatrics Physician | 208000000X | 125.068895 | IL | |
| Pediatrics Physician | 208000000X | 036148541 | IL |
Addresses
Primary practice location
4011 Gateway Blvd
Newburgh, IN 47630-8947
Mailing address
PO Box 632281
Cincinnati, OH 45263-2281
Phone (812) 450-6815
Other practice location 1
2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 327-9124
Other names 1
- Johnna McKelvey Sizemore
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036148541 | IL | MD | Pediatrics Physician |
| 125.068895 | IL | MD | Pediatrics Physician |
| 02007225A | IN | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Hospital, Inc | Multi-Specialty | Current | Accepting new patients |
| Deaconess Hospital Inc | Multi-Specialty | Current | Accepting new patients |
| Deaconess Hospital, Inc | Multi-Specialty | Current | Accepting new patients |
| Deaconess Hospital, Inc. | Past | Accepting new patients |
Locations
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240
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.
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
Multi-Specialty
-
dba Deaconess Care Group Gateway
- Hospitalist Physician
- Newburgh, IN
- NPI 1477592418
Multi-Specialty
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1912369182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632281",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632281",
"telephone_number": "812-450-6815",
"fax_number": "812-450-6822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 GATEWAY BLVD",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476308947",
"telephone_number": "812-842-3880",
"fax_number": "812-842-3916"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-327-9124",
"fax_number": "708-327-9132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "JOHNNA",
"middle_name": "MCKELVEY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IN",
"license": "02007225A",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.068895",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "IL",
"license": "036148541",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOHNNA",
"last_name": "SIZEMORE",
"middle_name": "MCKELVEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newburgh, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.