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SHARON A JOHNSON FNP LLC
NPI 1124589957
Nurse Practitioner - Family in Rensselaer, IN

Active since March 26, 2019
124 W WASHINGTON ST, RENSSELAER, IN 47978(219) 866-8655(219) 866-0803 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sharon A Johnson Fnp Llc NPPES

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

SHARON A JOHNSON FNP LLC (NPI 1124589957), doing business as Clinic Of Family Medicine, is a healthcare organization registered as a family in Rensselaer, Indiana and active in the NPI registry since March 2019. The organization lists Samantha Laurel Moran, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1124589957
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSHARON A JOHNSON FNP LLC
Location Address124 W WASHINGTON STRensselaer, IN 47978-2820
Mailing Address124 W Washington StRensselaer, IN 47978-2820 · (219) 866-8655 · Fax (219) 866-0803
Phone(219) 866-8655
Fax(219) 866-0803
Organization SubpartNo
Authorized OfficialSamantha Laurel MoranPractice Manager · (219) 866-4135
Enumeration DateMarch 26, 2019
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1124589957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
124 W WASHINGTON ST, Rensselaer, IN 47978
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Other Names 1

Doing Business AsClinic Of Family Medicine

Other Identifiers 1

Medicaid300096893IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Sharon A Johnson Fnp Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sharon A Johnson Fnp LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Sharon Johnson, FNP
Nurse Practitioner
NPI 1104951409
124 W WASHINGTON ST
Rensselaer, IN 47978
(219) 866-4135
✔ PECOS✔ Accepts MedicareSame address
Debra Drescher, NP
Nurse Practitioner
NPI 1407939895
1103 EAST GRACE STREET CLINIC OF FAMILY MEDICINE
Rensselaer, IN 47978
(219) 866-4135
✔ PECOS✔ Accepts Medicare0.8 mi

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

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 Sharon A Johnson Fnp LLC's NPI number?

The NPI number for Sharon A Johnson Fnp LLC is 1124589957. It was assigned to this organization in the NPPES registry on March 26, 2019. The provider is doing business as Clinic of Family Medicine.

Where is Sharon A Johnson Fnp LLC located?

Sharon A Johnson Fnp LLC is located at 124 W Washington St, Rensselaer, IN 47978. The listed phone number is (219) 866-8655.

What is Sharon A Johnson Fnp LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sharon A Johnson Fnp LLC enrolled in Medicare?

Yes. Sharon A Johnson Fnp LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sharon A Johnson Fnp LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Sharon A Johnson Fnp LLC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sharon A Johnson Fnp LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Sharon A Johnson Fnp LLC 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 Sharon A Johnson Fnp LLC was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.