Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104821982 Individual Practitioner Female Practitioner

Marla Smith Johnson , APRN

Nurse Practitioner • Edgewood, KY

Professional Overview & Biography Verified Profile Summary

Marla Johnson, APRN is a registered healthcare professional specializing in Nurse Practitioner in Edgewood, KY. Practice services are available at 1 MEDICAL VILLAGE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Medical Village Dr

Edgewood, KY 410173403

Telephone 8593012000
Fax 8593016910
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Edgewood, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
172 Specialists

Practicing in Edgewood, KY (1865 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License KY 3003587

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IN 71014669A

(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
78006681 (KY)
Medicaid State Provider ID
0052920 (OH)
Medicaid State Provider ID
201127110 (IN)
Commercial Insurance / Payer ID Rail Road Medicare
P00942703 (KY)
Commercial Insurance / Payer ID Palmetto Gba-Railroad Medicare
500023900
Commercial Insurance / Payer ID Anthem
000000225922
Commercial Insurance / Payer ID Rail Road Meddicare
P00954941 (KY)

Secondary Practice Locations

600 Wilson Creek Rd

Lawrenceburg, IN 470252751

Phone: 8124964910

Practice Associates & Co-Workers

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

40 Associated Practitioners
Cara Hansen , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003155060

Certified Registered Nurse Anesthetist

Deborah Bliss , ACNP

Nurse Practitioner - Acute Care

NPI 1013059559
Stephanie Stegman , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013533405

Certified Registered Nurse Anesthetist

Dr. Elle Kaiser , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1013582071

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

NPI 1023768264

Doctor of Osteopathic Medicine (D.O.)

Alexandra Wiesner , APRN

Nurse Practitioner

NPI 1023778123

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

22 Historical Events
📍
Updated Business Mailing Address December 18, 2025

Registered at PO BOX 636324, CINCINNATI, OH 452636324 (Tel: 8593012000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2025

Nurse Practitioner (License #3003587 in KY)

📍
Updated Practice Location June 19, 2024

Registered at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173403 (Tel: 8593012000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2024

Nurse Practitioner (License #71014669A in IN)

📍
Updated Practice Location September 04, 2018

Registered at 900 MEDICAL VILLAGE DR, MEDI, EDGEWOOD, KY 41017 (Tel: 8593310774)

📍
Updated Business Mailing Address September 04, 2018

Registered at PO BOX 635283, CINCINNATI, OH 452635283 (Tel: 8593310774)

NPI Profile Active March 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2018

Registered at 900 MEDICAL VILLAGE DR, MEDI, EDGEWOOD, KY 410173422 (Tel: 8593310774)

📍
Updated Business Mailing Address March 19, 2018

Registered at 2300 CHAMBER CENTER DRIVE, FT. MITCHELL, KY 410171673 (Tel: 8593310774)

👤
Provider Name / Credentials Updated March 19, 2018

Recorded as MARLA JOHNSON, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2018

Nurse Practitioner (License #3003587 in KY)

NPI Profile Active September 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2017

Registered at 900 MEDICAL VILLAGE DR, MEDI, EDGEWOOD, KY 410173422 (Tel: 8593310774)

📍
Updated Business Mailing Address September 01, 2017

Registered at 900 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173422 (Tel: 8593310774)

👤
Provider Name / Credentials Updated September 01, 2017

Recorded as MARLA JOHNSON, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2017

Nurse Practitioner (License #3003587 in KY)

NPI Profile Active September 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2014

Registered at 900 MEDICAL VILLAGE DR, MEDI, EDGEWOOD, KY 410173422 (Tel: 8593310774)

📍
Updated Business Mailing Address September 18, 2014

Registered at 900 MEDICAL VILLAGE DR, EDGEWOOD, KY 410173422 (Tel: 8593310774)

👤
Provider Name / Credentials Updated September 18, 2014

Recorded as MARLA JOHNSON, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2014

Nurse Practitioner (License #3003587 in KY)

🟢
Initial NPI Registration & Enumeration June 17, 2005

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: 1104821982
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2005
Last Update: December 18, 2025
Sole Proprietor: No

Mailing Address

Po Box 636324

Cincinnati, OH 452636324

Phone: 8593012000

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.