Donald L Johnson, ARNP
Individual provider Active NPI Family Nurse Practitioner · Frostproof, FL
NPI 1972508422 · NPPES record last updated Mar 6, 2026
Key facts
- NPI
- 1972508422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN1323862 (FL)
- Practice address
- 109 W Wall St
Frostproof, FL 33843-2043 - Phone
- (866) 234-8534
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Florida Health Care Inc
Practice addresses (Care Compare)
109 W Wall St
Frostproof, FL 33843-2043
Phone (866) 234-8534
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in FL, CO, NY, MT, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040819001029 | FL | Practitioner - Nurse Practitioner | 4486628179 | Reassigns benefits to 2 organizations |
| I20260206003526 | CO | Practitioner - Nurse Practitioner | 4486628179 | Reassigns benefits to 1 organization |
| I20260210000251 | NY | Practitioner - Nurse Practitioner | 4486628179 | Reassigns benefits to 1 organization |
| I20260216001622 | MT | Practitioner - Nurse Practitioner | 4486628179 | Reassigns benefits to 1 organization |
| I20260320003879 | ID | Practitioner - Nurse Practitioner | 4486628179 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN1323826 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current |
Accepting new patients |
| The Tower Ridge Group LLC | Family | Current | Accepting new patients |
| Central Florida Health Care, Inc | Current |
Accepting new patients | |
| Central Florida Health Care, Inc | Current |
Accepting new patients | |
| Neighborhood Nurse | Family | Past | Accepting new patients |
Locations
5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
305 W Central Ave
Lake Wales, FL 33853
Phone (863) 678-4144
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
47 5th St NW
Winter Haven, FL 33881
5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233
165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964
Interoperability endpoints
- donald.johnson.1@27269.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN1323862 | FL | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN1323826 | FL |
Addresses
Primary practice location
109 W Wall St
Frostproof, FL 33843-2043
Mailing address
47 5TH St NW
Winter Haven, FL 33881-4672
Phone (866) 234-8534
Other practice location 1
3215 Winter Lake Rd
Lakeland, FL 33803-9709
Phone (863) 419-3322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130464600 | Medicaid | FL |
Other providers in Frostproof, FL
- Fabiola Dutes Fairgrieve
- Frostproof Medical and Surgical Center PA
- Carlson Hamilton
- Michael P Hancock
- Jarquin Family Practice LLC
- Karnella Gay Johnson
- Heather Marie Lutz
- Teresa A Lyle
- Holly Fann McCraw
- Jennifer N Mincey
All providers in Frostproof, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.