STACY L JOHNSON FNP-C
NPI 1174002232
Nurse Practitioner - Psychiatric/Mental Health in Saint Peters, MO

Active since August 09, 2018PECOS EnrolledAccepts Medicare Assignment
255 SPENCER RD STE 201, SAINT PETERS, MO 63376(636) 939-2550 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Aug 1, 2022, Oct 20, 2020 and 2 more (5 updates tracked since 2018).

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

NPI1174002232
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACY L JOHNSONCredential: FNP-C
Location Address255 SPENCER RD STE 201Saint Peters, MO 63376-2576
Mailing Address751 Jonathan Cody DrWentzville, MO 63385-6877 · (314) 608-5726 · Fax (314) 842-2552
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 9, 2018
Last NPPES UpdateJuly 22, 20245 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
NPI 1174002232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MO · 2020034563
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2018018396 (MO)
255 SPENCER RD STE 201, Saint Peters, MO 63376

Other Identifiers 2

Medicaid420064105MO
Other363LP0808XTaxonomy

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

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.

PECOS PAC ID5991057671
PECOS Enrollment IDI20181008001380
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services12 patients

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.

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 9

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

Counselor (Professional)
255 SPENCER RD STE 201
SAINT PETERS, MO 63376
Counselor (Professional)
255 SPENCER RD STE 201
SAINT PETERS, MO 63376
Clinical Nurse Specialist (Psychiatric/Mental Health, Child & Family)
255 SPENCER RD STE 201
SAINT PETERS, MO 63376
Counselor (Professional)
255 SPENCER RD STE 201
SAINT PETERS, MO 63376
Psychiatry & Neurology (Child & Adolescent Psychiatry)
255 SPENCER RD STE 201
SAINT PETERS, MO 63376
Psychiatry & Neurology (Psychiatry)
255 SPENCER RD STE 201
SAINT PETERS, MO 63376
Nurse Practitioner (Psychiatric/Mental Health)
255 SPENCER RD STE 201
SAINT PETERS, MO 63376
Nurse Practitioner (Psychiatric/Mental Health)
255 SPENCER RD STE 201
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.

What insurance does Stacy Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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.