KAREN A JOHNSON (NP) – Acute Care Nurse Practitioner, NPI 1578761235

KAREN A JOHNSON (NP) is a healthcare provider. based in Mooresville, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 28140691A (IN). The NPI Number for KAREN A JOHNSON (NP) is 1578761235

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KAREN A JOHNSON (NP)
NPI
1578761235
Phone
(317) 313-3678
Address
10580 N ROLLING VALLEY DR
Enumeration Date
4 July 2007
Last Update Date
12 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884843258
Graduation Year
2007 (19 years ago)
PAC ID
0143314021
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20070924000000
Address ID
IN462021239IN1701XBLVD400

Contacts

Secure Messaging
kgrove@direct.iuhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

8,192 NURSE PRACTITIONER in IN

Provider Addresses for KAREN A JOHNSON (NP)

  • 10580 N ROLLING VALLEY DR

    MOORESVILLE, IN 461587077

    Phone: (317) 313-3678

    Fax: (317) 962-5820

    Type: Mailing

  • 1701 N Senate Blvd

    Indianapolis, IN 462021239

    Phone: (888) 484-3258

    Type: Location

  • 250 N SHADELAND AVE

    INDIANAPOLIS, IN 462194959

    Phone:

    Type: Mailing

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

    SUITE 610

    INDIANAPOLIS, IN 462021228

    Phone: (317) 396-1462

    Fax: (317) 924-8472

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-09-24

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
I20070924000000INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46158)

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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: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

Can I verify KAREN A JOHNSON (NP) with an NPI only?
You can start verification with NPI 1578761235 for KAREN A JOHNSON (NP), then check state licensing separately.
Does CMS list KAREN A JOHNSON (NP) as active?
Yes — KAREN A JOHNSON (NP) is active in the NPI listing used on this page.
What healthcare role does KAREN A JOHNSON (NP) hold?
Scheduling teams often label KAREN A JOHNSON (NP) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KAREN A JOHNSON (NP) based?
KAREN A JOHNSON (NP) is tied to Mooresville, Indiana in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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