1. Home
  2. Directory
  3. Illinois
  4. Carbondale
  5. Nurse Practitioner
  6. NPI Profile

RACHAEL O JOHNSON PMHNP-BC
NPI 1306317383
Nurse Practitioner - Psychiatric/Mental Health in Carbondale, IL

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment
404 S. LEWIS LN, CARBONDALE, IL 62901(618) 519-9200(618) 549-1288 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rachael O Johnson Pmhnp-bc NPPES

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

RACHAEL O JOHNSON PMHNP-BC (NPI 1306317383) is an individual psychiatric/mental health provider in Carbondale, Illinois, licensed in Illinois (209018485) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Heartland Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1306317383
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameRACHAEL O JOHNSONCredential: PMHNP-BC
Location Address404 S. LEWIS LNCarbondale, IL 62901
Mailing Address109 California St, Po Box 577Carterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-4635
Phone(618) 519-9200
Fax(618) 549-1288
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 17, 2018
Last NPPES UpdateDecember 19, 2018
✔ NPI 1306317383 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 IL · 209018485
404 S. LEWIS LN, Carbondale, IL 62901
Open in Google Maps ↗

Other Names 1

Former Name (1)Rachael O Jegede

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

Rachael O Johnson Pmhnp-bc 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 ID5395084073
PECOS Enrollment IDI20190223000049
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.

Medicare Billing Reassignment

Medicare enrollment records show Rachael Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shawnee Health Service And Development Corp
Same address
Federally Qualified Health Center (FQHC)
404 S. LEWIS LANE
Carbondale, IL 62901
  • Reassigned Medicare billing, Illinois enrollment
  • 52 clinicians in this Medicare group
NPI 1285185173 (618) 519-9200

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.

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 Rachael Johnson's NPI number?

The NPI number for Rachael Johnson is 1306317383. It was assigned to this individual provider in the NPPES registry on December 17, 2018. The provider is also known as Rachael O Jegede.

Where is Rachael Johnson located?

Rachael Johnson practices at 404 S. Lewis Ln, Carbondale, IL 62901. The listed phone number is (618) 519-9200.

What is Rachael Johnson's specialty?

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

Is Rachael Johnson enrolled in Medicare?

Yes. Rachael 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 Rachael Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Johnson reassigns Medicare benefits to Shawnee Health Service And Development Corp (Carbondale, IL). 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 Rachael Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rachael Johnson affiliated with any hospitals?

According to CMS data, Rachael Johnson is affiliated with Heartland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rachael Johnson was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.