MR. DAVID ANTHONY JOHNSON (N.P.) – Family Nurse Practitioner, NPI 1164660270

MR. DAVID ANTHONY JOHNSON (N.P.) is a healthcare provider. based in Indianapolis, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 71005726A (IN). The NPI Number for MR. DAVID ANTHONY JOHNSON (N.P.) is 1164660270

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID ANTHONY JOHNSON (N.P.)
NPI
1164660270
Phone
(317) 962-0250
Address
250 N SHADELAND AVE
Enumeration Date
27 January 2009
Last Update Date
20 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3179620280
Graduation Year
2008 (18 years ago)
PAC ID
7719292150
Group Practice PAC ID
7911969050
Professional Enrollment ID
I20180102001155
Address ID
IN462021184IN1801XBLVD480

Contacts

Secure Messaging
djohnso9@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

8,191 NURSE PRACTITIONER in IN

Provider Addresses for MR. DAVID ANTHONY JOHNSON (N.P.)

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone: (317) 962-0250

    Type: Mailing

  • 1801 N SENATE BLVD STE 3500

    INDIANAPOLIS, IN 462021184

    Phone: (317) 962-0250

    Type: Location

  • Senate Boulevard, Meridian Highlands, Indianapolis, Marion, Indiana, 46202, United States

    SUITE D3500

    INDIANAPOLIS, IN 462021228

    Phone: (317) 962-0280

    Fax: (317) 962-0289

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Smith+Nephew, Inc. ($117).

Total Amount

$132

General + Research + Ownership

Payments

3

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$117
Halozyme Inc$14
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180102001155INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 46219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911969050View full group profile
NameSpecialtyState
-IN
Vascular SurgeryIN
Nurse PractitionerIN
-IN
Vascular Surgery, General SurgeryIN
Vascular SurgeryIN
Vascular Surgery, General SurgeryIN
Nurse PractitionerIL
Nurse PractitionerIN
Vascular SurgeryIN

Reviews

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Frequently asked questions

Where can patients find MR. DAVID ANTHONY JOHNSON (N.P.)'s NPI?
You can confirm MR. DAVID ANTHONY JOHNSON (N.P.) with NPI 1164660270; it appears in the national provider directory.
Is MR. DAVID ANTHONY JOHNSON (N.P.)'s NPI currently valid?
The extract we use shows MR. DAVID ANTHONY JOHNSON (N.P.) as active.
What kind of provider is MR. DAVID ANTHONY JOHNSON (N.P.)?
The page reflects Family Nurse Practitioner for MR. DAVID ANTHONY JOHNSON (N.P.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MR. DAVID ANTHONY JOHNSON (N.P.)?
The page summarizes Indianapolis, Indiana for MR. DAVID ANTHONY JOHNSON (N.P.); expand the address list for detail.
How can I contact MR. DAVID ANTHONY JOHNSON (N.P.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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