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TRUDY JEAN JOHNSON PNP
NPI 1093378986
Nurse Practitioner - Pediatrics, Critical Care in Chicago, IL

Active since April 17, 2019PECOS Enrolled
5841 S MARYLAND AVE # MC1145, CHICAGO, IL 60637(773) 702-6681 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2019, Apr 17, 2019 (2 updates tracked since 2019).

About Trudy Jean Johnson Pnp NPPES

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

TRUDY JEAN JOHNSON PNP (NPI 1093378986) is an individual pediatrics, critical care provider in Chicago, Illinois, licensed in Illinois (209018871) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093378986
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameTRUDY JEAN JOHNSONCredential: PNP
Location Address5841 S MARYLAND AVE # MC1145Chicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965 · (708) 305-2460
Phone(773) 702-6681
Sole ProprietorYes
Enumeration DateApril 17, 2019
Last NPPES UpdateAugust 23, 20192 updates tracked since enumeration
✔ NPI 1093378986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in IL · 209018871
5841 S MARYLAND AVE # MC1145, Chicago, IL 60637
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trudy Jean Johnson Pnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 8

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

LIANNA MARIE DROBATZ MD
Pediatrics
5841 S MARYLAND AVE # MC1145
CHICAGO, IL 60637
Cook County (773) 702-3020
DR. JAMES FRANCIS HAYS MD
Internal Medicine
5841 S MARYLAND AVE # MC1145
CHICAGO, IL 60637
Cook County (773) 702-3020
DR. ALEXANDR MAGDER MB BCH BAO
Pediatrics (Pediatric Critical Care Medicine)
5841 S MARYLAND AVE # MC1145
CHICAGO, IL 60637
Cook County (773) 702-3020
BRETT HABERMEHL MD
Pediatrics (Pediatric Critical Care Medicine)
5841 S MARYLAND AVE # MC1145
CHICAGO, IL 60637
Cook County (773) 702-9659
DR. AHMED ARSHAD M.D.
Pediatrics (Pediatric Critical Care Medicine)
5841 S MARYLAND AVE # MC1145
CHICAGO, IL 60637
Cook County (773) 702-9659
DR. KEVIN DONALD SMITH MD
Pediatrics (Pediatric Critical Care Medicine)
5841 S MARYLAND AVE # MC1145
CHICAGO, IL 60637
Cook County (773) 702-3020
STEPHANIE LAM DO
Pediatrics (Pediatric Critical Care Medicine)
5841 S MARYLAND AVE # MC1145
CHICAGO, IL 60637
Cook County (773) 702-9659
REBEKAH O'CONNOR DO
Pediatrics
5841 S MARYLAND AVE # MC1145
CHICAGO, IL 60637
Cook County (773) 702-9659

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 Trudy Johnson's NPI number?

The NPI number for Trudy Johnson is 1093378986. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Trudy Johnson located?

Trudy Johnson practices at 5841 S Maryland Ave # Mc1145, Chicago, IL 60637. The listed phone number is (773) 702-6681.

What is Trudy Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Trudy Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Trudy Johnson was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.