STACEY MARIE JOHNS
NPI 1235875675
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Stacey Johns reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Meridian, ID 83642
- Reassigned Medicare billing, Idaho enrollment
- 18 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.
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.
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.
Which organization bills Medicare for Stacey Johns's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Johns reassigns Medicare benefits to Northwest Neurobehavioral Health, LLC (Meridian, ID). 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 Stacey Johns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Johns accept?
Health plans from Moda Health Plan, Inc. and PacificSource Health Plans 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Stacey Marie Johns · NPI 1235875675
Psychiatric/Mental Health physician in Meridian, Idaho. Individual provider, active in the CMS NPPES registry since May 9, 2022.
## Identity
- **NPI:** 1235875675 (Entity type: Individual)
- **Enumerated:** May 9, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 72224 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 988 N OXWICH AVE, Meridian, ID 83642-7859
- **Phone:** (208) 841-1026
## 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:** Northwest Neurobehavioral Health, LLC (NPI 1013223445, Meridian, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1235875675) · Data from the CMS NPPES public registry.