BRANDON LEE JOHNSON FNP-C
NPI 1417358482
Nurse Practitioner in Fort Wayne, IN
About Brandon Lee Johnson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON LEE JOHNSON FNP-C (NPI 1417358482) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71018116A) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brandon Lee 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Brandon Johnson's NPI number?
The NPI number for Brandon Johnson is 1417358482. It was assigned to this individual provider in the NPPES registry on September 10, 2014.
Where is Brandon Johnson located?
Brandon Johnson practices at 1818 Carew St Ste 120, Fort Wayne, IN 46805. The listed phone number is (260) 425-6200.
What is Brandon Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Brandon Johnson enrolled in Medicare?
Yes. Brandon 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.
When was this NPI record last updated?
The NPPES record for Brandon Johnson was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# Brandon Lee Johnson, FNP-C · NPI 1417358482
Nurse Practitioner physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since September 10, 2014.
## Identity
- **NPI:** 1417358482 (Entity type: Individual)
- **Enumerated:** September 10, 2014
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71018116A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1818 CAREW ST STE 120, Fort Wayne, IN 46805-4764
- **Phone:** (260) 425-6200 · **Fax:** (260) 425-6205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417358482) · Data from the CMS NPPES public registry.