JOHNSON NICHOLS HEALTH CLINIC
NPI 1114438579
Clinic/Center - Health Service in Greencastle, IN

Active since October 12, 2017CLIA 15D0352745 · Microscopy
1542 S BLOOMINGTON ST, GREENCASTLE, IN 46135(765) 653-6171 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 15, 2018, Oct 25, 2017, Oct 20, 2017 and 1 more (4 updates tracked since 2017).

About Johnson Nichols Health Clinic NPPES

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

JOHNSON NICHOLS HEALTH CLINIC (NPI 1114438579) is a healthcare organization registered as a health service in Greencastle, Indiana and active in the NPI registry since October 2017. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Roger S Boruff, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114438579
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePUTNAM COUNTY HOSPITAL
Location Address1542 S BLOOMINGTON STGreencastle, IN 46135-2212
Mailing Address1542 S Bloomington StGreencastle, IN 46135-2212 · (765) 653-6171
Organization SubpartNo
Authorized OfficialRoger S BoruffAuthorized Official · (765) 655-2620
Enumeration DateOctober 12, 2017
Last NPPES UpdateFebruary 15, 20184 updates tracked since enumeration
✔ NPI 1114438579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
1542 S BLOOMINGTON ST, Greencastle, IN 46135

Other Names 1

Doing Business AsJohnson Nichols Health Clinic

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnson Nichols Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

57

Medicare enrollment records show 57 clinicians reassign Medicare billing to Johnson Nichols Health Clinic, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 27 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner18
Family Practice9
Emergency Medicine7
General Surgery4
Internal Medicine4
Hospitalist3
Certified Registered Nurse Anesthetist (CRNA)2
Clinical Social Worker2
7 other specialties8

Nearest to this location (20)

See all 57
Certified Registered Nurse Anesthetist (CRNA)
NPI 1598768947
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7617
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1972246197
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7591
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1528065273
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7617
✔ PECOSSame address
Nurse Practitioner
NPI 1144767526
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7400
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1467472753
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7617
✔ PECOSSame address
Nurse Practitioner
NPI 1659725430
1542 S. BLOOMINGTON ST.
Greencastle, IN 46135
(765) 301-7030
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1821046202
1542 S BLOOMINGTON ST SUITE 1300
Greencastle, IN 46135
(765) 658-2700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740233683
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7625
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1710215900
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7449
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336790153
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7300
✔ Accepts MedicareSame address
Anesthesiology
NPI 1790864163
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 655-2609
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1467915330
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790756443
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7617
✔ PECOSSame address
Family Practice
NPI 1841511524
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7300
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1427496322
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 658-2753
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1164993218
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7300
✔ PECOS✔ Accepts Medicare0.1 mi
Orthopedic Surgery
NPI 1568464717
1542 S BLOOMINGTON ST STE 1100
Greencastle, IN 46135
(765) 301-7430
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1003286667
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7679
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1013430495
1542 S BLOOMINGTON ST
Greencastle, IN 46135
(765) 301-7449
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1245238575
305 MEDIC WAY
Greencastle, IN 46135
(765) 653-4633
✔ PECOS✔ Accepts Medicare0.3 mi
See all 57 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0352745

Johnson Nichols Health Clinic · Greencastle, IN
Active · expires Aug 31, 2028
CLIA Number15D0352745
Laboratory TypeIndiana County Hospital
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorJohn Savage
Laboratory Phone(765) 301-7380
Laboratory LocationJohnson Nichols Health Clinic1542 S Bloomington St, Greencastle, IN 46135
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Putnam County Hospital's NPI number?

The NPI number for Putnam County Hospital is 1114438579. It was assigned to this organization in the NPPES registry on October 12, 2017. The provider is doing business as Johnson Nichols Health Clinic.

Where is Putnam County Hospital located?

Putnam County Hospital is located at 1542 S Bloomington St, Greencastle, IN 46135. The listed phone number is (765) 653-6171.

What is Putnam County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Putnam County Hospital enrolled in Medicare?

Yes. Putnam County Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Putnam County Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 57 clinicians in 15 Medicare specialties reassign their Medicare billing to Putnam County Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (18), Family Practice (9) and Emergency Medicine (7). Of these, 13 practice at this address and 27 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Putnam County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 15D0352745) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Putnam County Hospital accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Putnam County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Putnam County Hospital was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.