Individual provider Active NPI

Donald L Johnson, ARNP

  • Family Nurse Practitioner
  • Frostproof, FL
National Provider Identifier
1972508422
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1323862 Issued in FL
Practice address
109 W Wall St
Frostproof, FL 33843-2043
Phone
(866) 234-8534
NPI assigned
Jun 20, 2005
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN1323862 FL Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO, NY, MT, ID5 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 5

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Florida Health Care IncGroup PAC ID 0143127951, 33 clinicians

Practice addresses (Care Compare)

109 W Wall St
Frostproof, FL 33843-2043
Phone (866) 234-8534

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN1323826FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Tower Ridge Group LLC Family Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Dec 31, 2025 Accepting new patients
Central Florida Health Care, Inc CurrentSince Apr 28, 2026 Accepting new patients
Central Florida Health Care, Inc CurrentSince Apr 28, 2026 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

  • Direct secure messaging: donald.johnson.1@27269.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1972508422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "866-234-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W WALL ST",
            "city": "FROSTPROOF",
            "state": "FL",
            "postal_code": "338432043",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3215 Winter Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338039709",
            "country_code": "US",
            "telephone_number": "863-419-3322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DONALD",
        "middle_name": "L",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN1323862",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN1323826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostproof, FL

Sources for this page

Verify at the official NPI Registry.