LORI JOHNSON NP-C
NPI 1679939987
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Active since January 04, 2016PECOS Enrolled
10561 JACKS WAY, INDIANAPOLIS, IN 46234(317) 995-3264 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2024, Apr 13, 2021, Feb 13, 2017 (3 updates tracked since 2017).

About Lori Johnson Np-c NPPES

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

LORI JOHNSON NP-C (NPI 1679939987) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71006065) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679939987
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLORI JOHNSONCredential: NP-C
Location Address10561 JACKS WAYIndianapolis, IN 46234-4065
Mailing Address10561 Jacks WayIndianapolis, IN 46234-4065 · (317) 995-3264
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 4, 2016
Last NPPES UpdateJune 25, 20263 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
NPI 1679939987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IN · 71006065
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71006065A (IN)
10561 JACKS WAY, Indianapolis, IN 46234

Accepted 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)

Lori Johnson Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648579086
PECOS Enrollment IDI20160505002037
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 46234 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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679939987, enumerated as an "individual" on January 04, 2016.

The provider is located at 10561 JACKS WAY INDIANAPOLIS, IN 46234 and the phone number is (317) 995-3264.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.