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Active NPI 1861891616 Individual Practitioner Female Practitioner

Kimberly Diana Johnson , NP

Nurse Practitioner • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kimberly Johnson, NP is a certified Nurse Practitioner practicing in Indianapolis, IN. With approximately 12 years of clinical experience since completing medical education in 2014, Kimberly Johnson delivers high-quality medical care to the local community at 1402 E COUNTY LINE RD.

Kimberly Johnson maintains professional affiliations with Community Physicians Of Indiana Inc, Community Physician Network Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1402 E County Line Rd
Suite 2400

Indianapolis, IN 462270963

Telephone 3178877660
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Indianapolis, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +1.8 yrs vs City Avg
City Avg: 10.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
477 Specialists

Practicing in Indianapolis, IN (2620 Statewide)

Telehealth Adoption Rate
10.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (12 Years) 12 Yrs
Indianapolis Specialty Average (10.2 Years) 10.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
168 155 $203.00 $101.07
93000 Routine ekg using at least 12 leads including interpretation and report
67 64 $40.00 $11.15

Medical Specialties & State Licenses

CMS Verified: 2021-10-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71005062A

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
201244940 (IN)
Commercial Insurance / Payer ID Medicare Railroad Ptan
P01424369 (IN)

Hospital & Practice Group Affiliations

Community Physicians Of Indiana Inc

100 Hospital Ln, Danville, IN 461221845

Phone: 3177189040

Community Physicians Of Indiana Inc

7120 Clearvista Dr, Indianapolis, IN 462561774

Phone: 3176217444

Community Physicians Of Indiana Inc

5492 N Ronald Reagan Pkwy, Brownsburg, IN 461125618

Phone: 3177189040

Community Physician Network Specialty Care Llc

8075 N Shadeland Ave, Indianapolis, IN 462502693

Phone: 3176218000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cortnie Yoder

Physician Assistant

NPI 1003392440
Dr. Ian Scharrer , MD

Internal Medicine

NPI 1043473671

Doctor of Medicine (M.D.)

Dr. Faheem Abbasi , MD

Internal Medicine - Pulmonary Disease

NPI 1043486343

Doctor of Medicine (M.D.)

NPI 1053600015

Doctor of Medicine (M.D.)

Katelyn Denault , PA-C

Physician Assistant

NPI 1063362333

Physician Assistant (Certified)

NPI 1063624963

Nurse Practitioner (Certified), RNBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2015

Registered at 1402 E COUNTY LINE RD, SUITE 2400, INDIANAPOLIS, IN 462270963 (Tel: 3178877660)

📍
Updated Business Mailing Address April 14, 2015

Registered at 6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 462502890 (Tel: 3178877880)

👤
Provider Name / Credentials Updated April 14, 2015

Recorded as KIMBERLY JOHNSON, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Nurse Practitioner (License #71005062A in IN)

🟢
Initial NPI Registration & Enumeration August 18, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861891616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2014
Last Update: October 04, 2021
Sole Proprietor: No

Mailing Address

6626 E 75th Street, Suite 500

Indianapolis, IN 462502890

Phone: 3178877880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.