Lori Johnson, NP-C - Medicare Nurse Practitioner in Indianapolis, IN

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Lori Johnson, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Indianapolis, Indiana. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holon Health Great Lakes Pc and her current practice location is 675 Justice Way, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (804) 404-6270.

Lori Johnson is licensed to practice in Indiana (license number 71006065A) 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 1679939987.

Contact Information

Lori Johnson, NP-C
675 Justice Way,
Indianapolis, IN 46203-1574
(804) 404-6270
Not Available

Map and Direction




Provider's Profile

Full NameLori Johnson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location675 Justice Way, Indianapolis, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lori Johnson graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1679939987
  • Provider Enumeration Date: 01/04/2016
  • Last Update Date: 03/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648579086
  • Enrollment ID: I20160505002037

Medical Identifiers

Medical identifiers for Lori Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679939987NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71006065A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holon Health Great Lakes Pc17597429193

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. Lori Johnson allows following entities to bill medicare on her behalf.
Entity NameOnhealthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417220369
PECOS PAC ID: 8527221480
Enrollment ID: O20120514000325
Entity NameS3 Medical Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891360079
PECOS PAC ID: 9931509619
Enrollment ID: O20210617000843
Entity NameS4 Specialty Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336884725
PECOS PAC ID: 4385011089
Enrollment ID: O20221109003024
Entity NameHolon Health Great Lakes Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194414805
PECOS PAC ID: 1759742919
Enrollment ID: O20230803002746

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. Lori Johnson 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 AddressPractice Location Address
Lori Johnson, NP-C
3540 Pump Rd Ste 1188,
Richmond, VA 23233-1115

Ph: (804) 404-6270		Lori Johnson, NP-C
675 Justice Way,
Indianapolis, IN 46203-1574

Ph: (804) 404-6270

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.