STACY L JOHNSON FNP-C
NPI 1174002232
Nurse Practitioner - Psychiatric/Mental Health in Saint Peters, MO
About Stacy L Johnson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY L JOHNSON FNP-C (NPI 1174002232) is an individual psychiatric/mental health provider in Saint Peters, Missouri, licensed in Missouri (2020034563) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacy L Johnson Fnp-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.
Medicare Billing Reassignment
Medicare enrollment records show Stacy Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Beachwood, OH 44122
- Reassigned Medicare billing, Missouri enrollment
- 113 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT PETERS, MO 63376
SAINT PETERS, MO 63376
SAINT PETERS, MO 63376
SAINT PETERS, MO 63376
SAINT PETERS, MO 63376
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 Stacy Johnson's NPI number?
The NPI number for Stacy Johnson is 1174002232. It was assigned to this individual provider in the NPPES registry on August 9, 2018.
Where is Stacy Johnson located?
Stacy Johnson practices at 255 Spencer Rd Ste 201, Saint Peters, MO 63376. The listed phone number is (636) 939-2550.
What is Stacy Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Stacy Johnson enrolled in Medicare?
Yes. Stacy Johnson 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.
Which organization bills Medicare for Stacy Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Johnson reassigns Medicare benefits to Psychological & Behavioral Consultants, LLC (Beachwood, OH). 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 Stacy Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacy Johnson accept?
Health plans from Medica and UnitedHealthcare list Stacy Johnson 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 Stacy Johnson was last updated on July 22, 2024. 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.
# Stacy L Johnson, FNP-C · NPI 1174002232
Psychiatric/Mental Health physician in Saint Peters, Missouri. Individual provider, active in the CMS NPPES registry since August 9, 2018.
## Identity
- **NPI:** 1174002232 (Entity type: Individual)
- **Enumerated:** August 9, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2020034563 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 255 SPENCER RD STE 201, Saint Peters, MO 63376-2576
- **Phone:** (636) 939-2550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Psychological & Behavioral Consultants, LLC (NPI 1811915713, Beachwood, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 22, 2024
- **Other identifiers:** Medicaid 420064105 (MO); Other 363LP0808X
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Source: [NPI Profile](https://npiprofile.com/npi/1174002232) · Data from the CMS NPPES public registry.