Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carie Lynn Johnson, APRN, NP-C

Individual provider Family Nurse Practitioner · NPI 1003351024

Carie Lynn Johnson, APRN, NP-C is a Nurse Practitioner in Waverly, Ohio. Qualified in 2016, 10 years ago. Practices with Adena Medical Group LLC, a 377-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

12340 State Route 104
Waverly, OH 45690-8968
Phone: (740) 941-5180
Fax: (740) 941-5178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.020386 (OH)
Registered Nurse Taxonomy 163W00000X · Licence RN.360187 (OH)

Record details

NPI number1003351024
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , NP-C
Sole proprietorNo
NPI enumeratedDecember 29, 2016
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Adena Medical Group Llc — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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