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ANITA L JOHNSON AUD
NPI 1104891043
Audiologist in Gibson City, IL

Active since February 22, 2006
1 DOCTORS PARK, GIBSON CITY, IL 60936(217) 784-2808 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2023, Aug 24, 2023 (2 updates tracked since 2023).

About Anita L Johnson Aud NPPES

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

ANITA L JOHNSON AUD (NPI 1104891043) is an individual audiologist in Gibson City, Illinois, licensed in Illinois (147001940) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1104891043
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameANITA L JOHNSONCredential: AUD
Location Address1 DOCTORS PARKGibson City, IL 60936-2000
Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-4251
Phone(217) 784-2808
Sole ProprietorNo
Enumeration DateFebruary 22, 2006
Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
✔ NPI 1104891043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
Licenses✔ Licensed in IL · 147001940✔ Licensed in WA · LD00001206
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
1 DOCTORS PARK, Gibson City, IL 60936
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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)

Anita L Johnson Aud is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Gibson Community Hospital Association
Same address
Rheumatology
4 DOCTORS PARK
Gibson City, IL 60936
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1154702181 (Illinois)
  • 201 clinicians in this Medicare group
NPI 1174262968 (217) 784-2806

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

Other Providers at the Same Location NPPES 6

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

ANTHONY L SANDIEGO MD
Surgery
1 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-4297
EMILY JEAN SCHIELER APN
Nurse Practitioner (Family)
1 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-2808
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Surgery
1 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-4297
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Surgery
1 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-4297
JOSEPH CHUNG, MD
Surgery
1 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-4297
GIBSON COMMUNITY HOSPITAL ASSOCIATION
Otolaryngology
1 DOCTORS PARK
GIBSON CITY, IL 60936
Ford County (217) 784-2808

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 Anita Johnson's NPI number?

The NPI number for Anita Johnson is 1104891043. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Anita Johnson located?

Anita Johnson practices at 1 Doctors Park, Gibson City, IL 60936. The listed phone number is (217) 784-2808.

What is Anita Johnson's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Anita Johnson enrolled in Medicare?

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

Which organization bills Medicare for Anita Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anita Johnson reassigns Medicare benefits to Gibson Community Hospital Association (Gibson City, IL). 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 Anita 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 Anita Johnson was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.