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CAROL JEAN JOHNSON FNP-C
NPI 1245881812
Nurse Practitioner - Family in New Castle, IN

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1000 N 16TH ST STE 210, NEW CASTLE, IN 47362(765) 599-3800(765) 521-7355 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2026, Jan 2, 2025, Sep 25, 2019 (3 updates tracked since 2019).

About Carol Jean Johnson Fnp-c NPPES

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

CAROL JEAN JOHNSON FNP-C (NPI 1245881812) is an individual family provider in New Castle, Indiana, licensed in Indiana (71009405A) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Henry County Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1245881812
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL JEAN JOHNSONCredential: FNP-C
Location Address1000 N 16TH ST STE 210New Castle, IN 47362-4319
Mailing AddressPo Box 738801Dallas, TX 75373-8801 · (765) 289-7444 · Fax (765) 289-8538
Phone(765) 599-3800
Fax(765) 521-7355
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 25, 2019
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1245881812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71009405A
Also ListedUrologyTaxonomy 208800000X · License 71009405A (IN)
1000 N 16TH ST STE 210, New Castle, IN 47362
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12525 W University Ave Ste 504Muncie, IN 47303-3409 · Phone (765) 289-7444 ext. 112 · Fax (765) 289-8538
Location 2141 W 22nd St Ste 213Anderson, IN 46016-4389 · Phone (765) 643-0766 · Fax (765) 640-2353
Location 31210A Medical Arts Blvd Ste 206Anderson, IN 46011-3437 · Phone (765) 298-4090

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carol Jean Johnson Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294169116
PECOS Enrollment IDI20200102000532
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carol Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology Associates, LLC
16 mi
Urology
141 W 22ND ST STE 213
Anderson, IN 46016
  • Reassigned Medicare billing, Indiana enrollment
  • 5 clinicians in this Medicare group
NPI 1326093147 (765) 289-7444
Linke Robotics LLC
76 mi
Urology
7920 W JEFFERSON BLVD STE 200
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 4 clinicians in this Medicare group
NPI 1699573436 (260) 702-9515

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
552 services351 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
508 services349 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
398 services271 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
121 services100 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry County Memorial Hospital

Acute Care Hospitals · New Castle, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150030
Location1000 N 16th StNew Castle, IN 47362 · Henry County
Emergency services Birthing friendly

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47362 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier15 claims15 services$7.41 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims1,080 services$0.11 avg. paid by Medicare
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
2 suppliers16 claims16 services$25.95 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,080 services$1.49 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,950 services$5.18 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers26 claims74 services$9.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Carol Johnson's NPI number?

The NPI number for Carol Johnson is 1245881812. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Carol Johnson located?

Carol Johnson practices at 1000 N 16th St Ste 210, New Castle, IN 47362. The listed phone number is (765) 599-3800.

What is Carol Johnson's specialty?

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

Is Carol Johnson enrolled in Medicare?

Yes. Carol Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Carol Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Johnson reassigns Medicare benefits to 2 organizations: Urology Associates, LLC (Anderson, IN) and Linke Robotics LLC (Fort Wayne, IN). Each 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 Carol Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Carol Johnson 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.

Is Carol Johnson affiliated with any hospitals?

According to CMS data, Carol Johnson is affiliated with Henry County Memorial Hospital, Reid Health, Indiana University Health Ball Memorial Hospital and Community Hospital Of Anderson And Madison County.

When was this NPI record last updated?

The NPPES record for Carol Johnson was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.