Kristin Marie Johanning, NP in Avon, IN - Medicare Nurse Practitioner

Kristin Marie Johanning, NP is a medicare enrolled "Nurse Practitioner - Family" in Avon, Indiana. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Indiana Clinic Critical Care Llc, Indiana University Health Care Associates Inc, Iu Health Medical Group Llc and her current practice location is 1111 Ronald Reagan Pkwy, Avon, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 217-3000.

Kristin Marie Johanning is licensed to practice in Indiana (license number 71011665A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164013629.

Contact Information

	Kristin Marie Johanning, NP
	1111 Ronald Reagan Pkwy, Avon, IN 46123-7085
	(317) 217-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristin Marie Johanning
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1111 Ronald Reagan Pkwy, Avon, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristin Marie Johanning graduated from nursing school in 2021

NPI Data:

NPI Number: 1164013629
Provider Enumeration Date: 01/28/2021
Last Update Date: 02/11/2025

Medicare PECOS Information:

PECOS PAC ID: 3678971645
Enrollment ID: I20211005001866

Medical Identifiers

Medical identifiers for Kristin Marie Johanning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164013629	NPI	-	NPPES
300055788	Medicaid	IN
1102190586	Other	IN	ANTHEM PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28180808A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	F06210384 (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71011665A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Iu Health West Hospital	Avon, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana Clinic Critical Care Llc	3678600988	182
Indiana University Health Care Associates Inc	5799755864	914
Iu Health Medical Group Llc	9638617913	1024

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristin Marie Johanning allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

Entity Name	Indiana Clinic Critical Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417285230 PECOS PAC ID: 3678600988 Enrollment ID: O20100419000408

Entity Name	Iu Health Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Marie Johanning is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristin Marie Johanning, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Kristin Marie Johanning, NP 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 Ph: (317) 217-3000

Reviews and Comments

Nurse Practitioner Nurses in Avon, IN

Christi Lynn Crimmins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7975 E Us Highway 36, Avon, IN 46123 Phone: 317-355-9250 Fax: 317-806-1133
Megan Burton, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6655 E Us Highway 36, Avon, IN 46123 Phone: 888-714-1927
Melissa Grimes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8607 E Us Highway 36 Ste 300, Avon, IN 46123 Phone: 317-718-7960
Jill Suzanne Dana, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123 Phone: 317-272-4920 Fax: 317-272-4906
Victoria Neuses, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123 Phone: 317-742-1340 Fax: 317-203-1066
Sara Diann Ridlen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7990 E Us Highway 36, Avon, IN 46123 Phone: 866-389-2727
Brittany Renee Montgomery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123 Phone: 317-272-4920 Fax: 317-272-4906

Kristin Marie Johanning, NP - Medicare Nurse Practitioner in Avon, IN