MARLA SMITH JOHNSON APRN
NPI 1104821982
Nurse Practitioner in Edgewood, KY

Q: What is Marla Johnson's NPI number?

The NPI number for Marla Johnson is 1104821982. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Marla Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Marla Johnson was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2005PECOS Enrolled

1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-2000(859) 301-6910 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 18, 2025, Jun 6, 2025, Jun 19, 2024 and 3 more (6 updates tracked since 2017).

On this page

About Marla Smith Johnson Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLA SMITH JOHNSON APRN (NPI 1104821982) is an individual nurse practitioner in Edgewood, Kentucky, licensed in Kentucky (3003587) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lawrenceburg.

NPPES Registry Identity

NPI1104821982

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARLA SMITH JOHNSONCredential: APRN

Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403

Mailing AddressPo Box 636324Cincinnati, OH 45263-6324 · (859) 301-2000 · Fax (859) 301-6910

Phone(859) 301-2000

Fax(859) 301-6910

Sole ProprietorNo

Enumeration DateJune 17, 2005

Last NPPES UpdateDecember 18, 20256 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1104821982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in KY · 3003587✔ Licensed in IN · 71014669A

Definition

(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.

1 MEDICAL VILLAGE DR, Edgewood, KY 41017

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Secondary Practice Location 1

Location 1600 Wilson Creek RdLawrenceburg, IN 47025-2751 · Phone (812) 496-4910 · Fax (812) 532-2664

Other Identifiers 7

OtherP00954941KY · Rail Road Meddicare

Other000000225922Anthem

Medicaid0052920OH

Other500023900Palmetto Gba-railroad Medicare

Medicaid78006681KY

OtherP00942703KY · Rail Road Medicare

Medicaid201127110IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marla Smith Johnson Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARA LINDSAY HANSEN CRNA

Nurse Anesthetist, Certified Registered