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NANCY MOE JOHNSON PA
NPI 1417262528
Physician Assistant - Medical in Beloit, WI

Active since August 12, 2010PECOS EnrolledAccepts Medicare Assignment
1905 E HUEBBE PKWY, BELOIT CLINIC, BELOIT, WI 53511(608) 364-1460(608) 363-7317 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nancy Moe Johnson Pa NPPES

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

NANCY MOE JOHNSON PA (NPI 1417262528) is an individual medical provider in Beloit, Wisconsin, licensed in Wisconsin (2640-33) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1417262528
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNANCY MOE JOHNSONCredential: PA
Location Address1905 E HUEBBE PKWY, BELOIT CLINICBeloit, WI 53511-1842
Mailing Address1905 E Huebbe Pkwy, Beloit Health System IncBeloit, WI 53511-1842 · (608) 364-2293 · Fax (608) 364-5452
Phone(608) 364-1460
Fax(608) 363-7317
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 12, 2010
Last NPPES UpdateNovember 16, 2016
✔ NPI 1417262528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in WI · 2640-33✔ Licensed in CO · 3203
1905 E HUEBBE PKWY, Beloit, WI 53511
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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

Nancy Moe Johnson Pa 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 ID840477709
PECOS Enrollment IDI20110602000463
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

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.

KAYCE J THOMPSON PTA
Physical Therapy Assistant
1905 E HUEBBE PKWY
BELOIT, WI 53511
Rock County (608) 364-2293
MADELENE G. HAMANN N.P.
Nurse Practitioner
1905 E HUEBBE PKWY, 1905 E. HUEBBE PARKWAY
BELOIT, WI 53511
Rock County (608) 364-2240
JUDITH MARIE WARNKE O.T.
Occupational Therapist
1905 E HUEBBE PKWY
BELOIT, WI 53511
Rock County (608) 364-2200
MS. CINDY I DAMON APNP
Nurse Practitioner
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC
BELOIT, WI 53511
Rock County (608) 364-2200
JOANNE SYLVIA PICKETT 225X00000X
Occupational Therapist
1905 E HUEBBE PKWY
BELOIT, WI 53511
Rock County (608) 364-2200
CHRISTINA HUGHES NP
Nurse Practitioner (Family)
1905 E HUEBBE PKWY
BELOIT, WI 53511
Rock County (608) 363-2240
DR. DAVID K YOON M.D.
Internal Medicine (Gastroenterology)
1905 E HUEBBE PKWY, BELOIT HEALTH SYSTEM INC.
BELOIT, WI 53511
Rock County (608) 364-1460
KELSEY LEE BEAUMONT
Physician Assistant (Medical)
1905 E HUEBBE PKWY
BELOIT, WI 53511
Rock County (608) 364-2200

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 Nancy Johnson's NPI number?

The NPI number for Nancy Johnson is 1417262528. It was assigned to this individual provider in the NPPES registry on August 12, 2010.

Where is Nancy Johnson located?

Nancy Johnson practices at 1905 E Huebbe Pkwy Beloit Clinic, Beloit, WI 53511. The listed phone number is (608) 364-1460.

What is Nancy Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nancy Johnson enrolled in Medicare?

Yes. Nancy 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.

Is Nancy Johnson affiliated with any hospitals?

According to CMS data, Nancy Johnson is affiliated with Mercy Health System Corp and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Nancy Johnson was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.