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DR. JOHNNA MCKELVEY WILSON D.O.
NPI 1912369182
Pediatrics - Pediatric Critical Care Medicine in Newburgh, IN

Active since March 25, 2016PECOS Enrolled
4011 GATEWAY BLVD, NEWBURGH, IN 47630(812) 842-3880(812) 842-3916 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2025, Jul 20, 2023, May 14, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Johnna Mckelvey Wilson D.o. NPPES

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

DR. JOHNNA MCKELVEY WILSON D.O. (NPI 1912369182) is an individual pediatric critical care medicine provider in Newburgh, Indiana, licensed in Indiana (02007225A) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Maywood.

NPPES Registry Identity

NPI1912369182
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. JOHNNA MCKELVEY WILSONCredential: D.O.
Location Address4011 GATEWAY BLVDNewburgh, IN 47630-8947
Mailing AddressPo Box 632281Cincinnati, OH 45263-2281 · (812) 450-6815 · Fax (812) 450-6822
Phone(812) 842-3880
Fax(812) 842-3916
Sole ProprietorYes
Enumeration DateMarch 25, 2016
Last NPPES UpdateSeptember 8, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1912369182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in IN · 02007225A
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 125.068895 (IL), 036148541 (IL)

Other Names 1

Former Name (1)Johnna Mckelvey Sizemore

Secondary Practice Location 1

Location 12160 S 1st AveMaywood, IL 60153-3328 · Phone (708) 327-9124 · Fax (708) 327-9132

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johnna Mckelvey Wilson D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Johnna Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deaconess Hospital, Inc
Pain Medicine
4600 W LLOYD EXPY
Evansville, IN 47712
  • Reassigned Medicare billing, Indiana enrollment
  • 717 clinicians in this Medicare group
NPI 1013222322 (812) 450-7246

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

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.

DEACONESS CLINIC INC
Psychiatry & Neurology (Neurology)
4011 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 490-4570
MICHELLE RENEE ESTEP M.D.
Pediatrics (Pediatric Critical Care Medicine)
4011 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 842-3880
TRACY L MILES BSN,RN,CMSRN
Registered Nurse (Medical-Surgical)
4011 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 842-3962
SUE A KRIEG FNP-C
Nurse Practitioner
4011 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 858-2100
MRS. JESSICA PATTON M.S., CCC-SLP
Speech-Language Pathologist
4011 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 842-3778
MRS. KATHY L VANDERGRIFF SLP
Speech-Language Pathologist
4011 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 842-3770
HAZEM ALBANDAR MD
Psychiatry & Neurology (Epilepsy)
4011 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 490-4570
CECELIA CUNDIFF PHARMD
Pharmacist
4011 GATEWAY BLVD
NEWBURGH, IN 47630
Warrick County (812) 842-3470

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 Johnna Wilson's NPI number?

The NPI number for Johnna Wilson is 1912369182. It was assigned to this individual provider in the NPPES registry on March 25, 2016. The provider is also known as Johnna Mckelvey Sizemore.

Where is Johnna Wilson located?

Johnna Wilson practices at 4011 Gateway Blvd, Newburgh, IN 47630. The listed phone number is (812) 842-3880.

What is Johnna Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Johnna Wilson enrolled in Medicare?

Yes. Johnna Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johnna Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnna Wilson reassigns Medicare benefits to Deaconess Hospital, Inc (Evansville, IN). The 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 Johnna Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johnna Wilson accept?

Health plans from CareSource and Cigna Healthcare list Johnna Wilson 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 Johnna Wilson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.