NICOLE RUTH JOHNSON M.D.
NPI 1427311745
Pediatrics - Child Abuse Pediatrics in Oak Lawn, IL

Active since June 21, 2012PECOS Enrolled
4440 W 95TH ST STE 1200H, OAK LAWN, IL 60453(708) 684-5341 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2022, Aug 10, 2020 (2 updates tracked since 2020).

About Nicole Ruth Johnson M.d. NPPES

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

NICOLE RUTH JOHNSON M.D. (NPI 1427311745) is an individual child abuse pediatrics provider in Oak Lawn, Illinois, licensed in Illinois (036-137797) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427311745
Entity TypeIndividualFemale
Primary Taxonomy2080C0008X
Provider Legal NameNICOLE RUTH JOHNSONCredential: M.D.
Location Address4440 W 95TH ST STE 1200HOak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293
Sole ProprietorNo
Enumeration DateJune 21, 2012
Last NPPES UpdateApril 25, 20222 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
NPI 1427311745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080C0008X
License Licensed in IL · 036-137797
Definition
A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
Also ListedPediatricsTaxonomy 208000000X · License 125061008 (IL)
4440 W 95TH ST STE 1200H, Oak Lawn, IL 60453

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 (PECOS)

Nicole Ruth Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Pediatrics (Pediatric Emergency Medicine)
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Pediatrics
4440 W 95TH ST STE 1200H, ADVOCATE CHILDRENS HOSPITAL OAK LAWN
OAK LAWN, IL 60453
Clinical Neuropsychologist
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Physician Assistant
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Nurse Practitioner (Family)
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Otolaryngology
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453
Pediatrics (Pediatric Emergency Medicine)
4440 W 95TH ST STE 1200H
OAK LAWN, IL 60453

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1427311745. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Nicole Johnson located?

Nicole Johnson practices at 4440 W 95th St Ste 1200H, Oak Lawn, IL 60453. The listed phone number is (708) 684-5341.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Is Nicole Johnson enrolled in Medicare?

Yes. Nicole Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Johnson accept?

Health plans from Medica and Sanford Health Plan list Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on April 25, 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.