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ELIZABETH JOHNSON FNP
NPI 1073883146
Nurse Practitioner - Family in Wentzville, MO

Active since January 06, 2012PECOS Enrolled
1111 W PEARCE BLVD, WENTZVILLE, MO 63385(636) 887-3020(636) 887-3022 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Johnson Fnp NPPES

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

ELIZABETH JOHNSON FNP (NPI 1073883146) is an individual family provider in Wentzville, Missouri, licensed in Missouri (2011040126) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073883146
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH JOHNSONCredential: FNP
Location Address1111 W PEARCE BLVDWentzville, MO 63385-1020
Mailing Address2907 Ridgeway AveSaint Louis, MO 63114-4546 · (314) 938-4438 · Fax (314) 938-4434
Phone(636) 887-3020
Fax(636) 887-3022
Sole ProprietorYes
Enumeration DateJanuary 6, 2012
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1073883146 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 MO · 2011040126
1111 W PEARCE BLVD, Wentzville, MO 63385
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Johnson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Elizabeth Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
526 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri enrollment
  • 412 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63385 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 4

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

MRS. KATHRYN C STEINMANN CNP
Nurse Practitioner (Family)
1111 W PEARCE BLVD
WENTZVILLE, MO 63385
St. Charles County (636) 887-4288
DR. KALUGOTLA N SHIVARAM MD
Emergency Medicine
1111 W PEARCE BLVD
WENTZVILLE, MO 63385
St. Charles County (636) 887-4288
SHAWNDRA LATOYA BROWN-FOOTE MD
Family Medicine
1111 W PEARCE BLVD
WENTZVILLE, MO 63385
St. Charles County (636) 856-5362
OUR URGENT CARE, LLC
Clinic/Center (Urgent Care)
1111 W PEARCE BLVD
WENTZVILLE, MO 63385
St. Charles County (252) 813-9104

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 Elizabeth Johnson's NPI number?

The NPI number for Elizabeth Johnson is 1073883146. It was assigned to this individual provider in the NPPES registry on January 6, 2012.

Where is Elizabeth Johnson located?

Elizabeth Johnson practices at 1111 W Pearce Blvd, Wentzville, MO 63385. The listed phone number is (636) 887-3020.

What is Elizabeth Johnson's specialty?

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

Is Elizabeth Johnson enrolled in Medicare?

Yes. Elizabeth Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elizabeth Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Johnson reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Johnson was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.