STACIE R. JOHNSON APRN
NPI 1205212677
Nurse Practitioner - Family in Omaha, NE
About Stacie R. Johnson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACIE R. JOHNSON APRN (NPI 1205212677) is an individual family provider in Omaha, Nebraska, licensed in Nebraska (111879) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Stacie R. Johnson Aprn 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 Reassignments
2Medicare enrollment records show Stacie Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Omaha, NE 68124
- Reassigned Medicare billing, Nebraska enrollment
- 1,045 clinicians in this Medicare group
Omaha, NE 68154
- Reassigned Medicare billing, Nebraska enrollment
- 3 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Nebraska Methodist Hospital
Acute Care Hospitals · Omaha, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OMAHA, NE 68124
OMAHA, NE 68124
OMAHA, NE 68124
OMAHA, NE 68124
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 Stacie Johnson's NPI number?
The NPI number for Stacie Johnson is 1205212677. It was assigned to this individual provider in the NPPES registry on August 7, 2015. The provider is also known as Stacie R. Mahoney Aprn.
Where is Stacie Johnson located?
Stacie Johnson practices at 7710 Mercy Rd Ste 3000, Omaha, NE 68124. The listed phone number is (402) 717-9600.
What is Stacie Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacie Johnson enrolled in Medicare?
Yes. Stacie 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 organizations bill Medicare for Stacie Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Johnson reassigns Medicare benefits to 2 organizations: Alegent Creighton Clinic (Omaha, NE) and Pain Centers Of The Midlands LLC (Omaha, NE). Each 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 Stacie Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacie Johnson accept?
Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Stacie 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.
Is Stacie Johnson affiliated with any hospitals?
According to CMS data, Stacie Johnson is affiliated with The Nebraska Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Stacie Johnson was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Stacie R. Johnson, APRN · NPI 1205212677
Family physician in Omaha, Nebraska. Individual provider, active in the CMS NPPES registry since August 7, 2015.
## Identity
- **NPI:** 1205212677 (Entity type: Individual)
- **Enumerated:** August 7, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 111879 (Nebraska)
- **Sole proprietor:** No
## Practice location
- **Address:** 7710 MERCY RD STE 3000, Omaha, NE 68124-2350
- **Phone:** (402) 717-9600 · **Fax:** (402) 717-6014
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Alegent Creighton Clinic (NPI 1548287907, Omaha, NE); Pain Centers Of The Midlands LLC (NPI 1750759361, Omaha, NE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1205212677) · Data from the CMS NPPES public registry.