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

Kristin Marie Johanning, NP

Individual provider Registered Nurse · NPI 1164013629

Kristin Marie Johanning, NP is a Nurse Practitioner in Avon, Indiana. Qualified in 2021, 5 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2021
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone: (317) 217-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 — (888) 484-3258

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71011665A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28180808A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F06210384 (IN)

Record details

NPI number1164013629
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 28, 2021
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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