Individual provider Active NPI

Robin Lynn Johnson, FNP-BC

  • Family Nurse Practitioner
  • Union, WV
National Provider Identifier
1992052823
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
64482 Issued in WV
Practice address
200 Health Center Drive
Union, WV 24983-0590
Phone
(304) 772-3064
Fax
(304) 772-5671
NPI assigned
Aug 9, 2012
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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 64482 WV Primary

Addresses

Primary practice location

200 Health Center Drive
Union, WV 24983-0590

Mailing address

PO Box 590
Union, WV 24983-0590
Phone (304) 772-3064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20130715000381 WV Practitioner - Nurse Practitioner 7810137924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

PO Box
Suite 590
Union, WV 24983

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64482WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe County Health Center Board of Trustees CurrentSince Apr 3, 2013 Accepting new patients
Monroe County Health Center Board of Trustees CurrentSince Apr 3, 2013 Accepting new patients
Monroe County Health Center Past Accepting new patients
Monroe County Health Center Board of Trustees Past Accepting new patients

Locations

200 Health Center Dr
Union, WV 24983
Phone (304) 772-3064

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1992052823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "UNION",
            "state": "WV",
            "postal_code": "249830590",
            "telephone_number": "304-772-3064",
            "fax_number": "304-772-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CENTER DRIVE",
            "city": "UNION",
            "state": "WV",
            "postal_code": "249830590",
            "telephone_number": "304-772-3064",
            "fax_number": "304-772-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "64482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, WV

Sources for this page

Verify at the official NPI Registry.