IndividualActive
Stephanie Johnson, AGNP
NPI 1043085145 · Nurse Practitioner · Indianapolis, IN
Provider details
- NPI number
- 1043085145
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 71014713A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone: (317) 880-7666
Street-level locationGet directions
Mailing address
Po Box 637764
Cincinnati, OH 45263-7764
Additional practice locations (1)
- 8820 Columbia 100 Pkwy Ste 430Columbia, MD 21045-2175Phone: (317) 701-2379Fax: (844) 306-1455
Registry dates
- Enumerated
- 2023-11-17
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.