ILLISIA MARIE JOHNSTON NP-C
NPI 1003486556
Nurse Practitioner - Family in Laurel, MS

Active since June 28, 2021PECOS EnrolledAccepts Medicare Assignment
83.37/100
CMS Quality Rating
1008 N 15TH AVE, LAUREL, MS 39440(601) 426-5125 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2024, Oct 12, 2023, Jun 28, 2021 (3 updates tracked since 2021).

About Illisia Marie Johnston Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLISIA MARIE JOHNSTON NP-C (NPI 1003486556) is an individual family provider in Laurel, Mississippi, licensed in Mississippi (F06212134) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003486556
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameILLISIA MARIE JOHNSTONCredential: NP-C
Location Address1008 N 15TH AVELaurel, MS 39440-2656
Mailing AddressPo Box 247Laurel, MS 39441-0247
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 28, 2021
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1003486556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · F06212134
1008 N 15TH AVE, Laurel, MS 39440

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Illisia Marie Johnston Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062800691
PECOS Enrollment IDI20211101000338
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39440 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability85
Improvement Activities40
Cost83.92

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1008 N 15TH AVE
LAUREL, MS 39440
Obstetrics & Gynecology
1008 N 15TH AVE
LAUREL, MS 39440
Obstetrics & Gynecology
1008 N 15TH AVE
LAUREL, MS 39440
Obstetrics & Gynecology
1008 N 15TH AVE
LAUREL, MS 39440
Obstetrics & Gynecology
1008 N 15TH AVE
LAUREL, MS 39440
Nurse Practitioner (Women's Health)
1008 N 15TH AVE
LAUREL, MS 39440
Clinic/Center (Rural Health)
1008 N 15TH AVE
LAUREL, MS 39440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illisia Johnston's NPI number?

The NPI number for Illisia Johnston is 1003486556. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Illisia Johnston located?

Illisia Johnston practices at 1008 N 15th Ave, Laurel, MS 39440. The listed phone number is (601) 426-5125.

What is Illisia Johnston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Illisia Johnston enrolled in Medicare?

Yes. Illisia Johnston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Illisia Johnston accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Illisia Johnston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Illisia Johnston was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.