STACEY MARIE JOHNS
NPI 1235875675
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Active since May 09, 2022PECOS EnrolledAccepts Medicare Assignment
988 N OXWICH AVE, MERIDIAN, ID 83642(208) 841-1026 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Marie Johns NPPES

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

STACEY MARIE JOHNS (NPI 1235875675) is an individual psychiatric/mental health provider in Meridian, Idaho, licensed in Idaho (72224) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235875675
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSTACEY MARIE JOHNS
Location Address988 N OXWICH AVEMeridian, ID 83642-7859
Mailing Address988 N Oxwich AveMeridian, ID 83642-7859 · (208) 841-1026
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 9, 2022
NPPES CertifiedMay 9, 2022
NPI 1235875675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in ID · 72224
988 N OXWICH AVE, Meridian, ID 83642

Other Names 1

Former Name (1)Stacey Marie Burdette

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

Stacey Marie Johns 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 ID8820471550
PECOS Enrollment IDI20220812002996
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 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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 Stacey Johns's NPI number?

The NPI number for Stacey Johns is 1235875675. It was assigned to this individual provider in the NPPES registry on May 9, 2022. The provider is also known as Stacey Marie Burdette.

Where is Stacey Johns located?

Stacey Johns practices at 988 N Oxwich Ave, Meridian, ID 83642. The listed phone number is (208) 841-1026.

What is Stacey Johns's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacey Johns enrolled in Medicare?

Yes. Stacey Johns 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 Stacey Johns accept?

Health plans from Moda Health Plan, Inc. list Stacey Johns 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 Stacey Johns was last updated on May 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.