BETHANNE JOHNSTON NP
NPI 1457438467
Nurse Practitioner - Pediatrics in Indianapolis, IN

Q: What is Bethanne Johnston's NPI number?

The NPI number for Bethanne Johnston is 1457438467. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Bethanne Willis.

Q: What is Bethanne Johnston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Bethanne Johnston was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 01, 2006PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-2563(317) 222-2154 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2023, Nov 20, 2020 (2 updates tracked since 2020).

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About Bethanne Johnston Np NPPES

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

BETHANNE JOHNSTON NP (NPI 1457438467) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71001903) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457438467

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameBETHANNE JOHNSTONCredential: NP

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 778912Chicago, IL 60677-8912 · (317) 777-6435 · Fax (317) 777-6644

Phone(317) 944-2563

Fax(317) 222-2154

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration

NPPES CertifiedDecember 5, 2023

✔ NPI 1457438467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Licenses✔ Licensed in IN · 71001903✔ Licensed in IN · 28106651

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Names 1

Former Name (1)Bethanne Willis

Other Identifiers 1

Medicaid200850390IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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)

Bethanne Johnston Np 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 46202 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.

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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)