COMPLETE FAMILY HEALTHCARE HEATHER JOHNSTON LLC — NPI 1265755029 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers

CMS-1500 Box 24J / 33a • NPI

1265755029

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

363LF0000X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family

Box 32 Service Location & ZIP+4

7138 EAST STATE ROAD, 160, SALEM, IN, 47167-7855

✓ 9-Digit EDI 837 ZIP+4 (47167-7855)

Practice Phone & Referral Fax

(812) 704-4470

Fax: (877) 717-2521

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1265755029 (COMPLETE FAMILY HEALTHCARE HEATHER JOHNSTON LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1265755029` (NPI-2 Organization / Facility)
Provider / Legal Name	COMPLETE FAMILY HEALTHCARE HEATHER JOHNSTON LLC
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: `363LF0000X` (Nurse Practitioner, Family)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	7138 EAST STATE ROAD, 160, SALEM, IN, 47167-7855
Practice Telephone / Fax	Tel: (812) 704-4470 \| Fax: (877) 717-2521
Administrative Mailing Address	PO BOX 43, HARDINSBURG, IN, 47125-0043
Enumeration & Last Sync	Enumerated: 2010-03-09 \| CMS Record Updated: 2011-07-11
Authorized Official	HEATHER JOHNSTON (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7138 EAST STATE ROAD, 160, SALEM, IN, 47167-7855

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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)

What Does Taxonomy Code 363LF0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Family for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COMPLETE FAMILY HEALTHCARE HEATHER JOHNSTON LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LF0000X` — Nurse Practitioner, Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family	State: IN \| License: `71002653A` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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COMPLETE FAMILY HEALTHCARE HEATHER JOHNSTON LLC (NPI #1265755029)