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STACI L JOHNSON APRN
NPI 1538325907
Nurse Practitioner - Family in Anchorage, AK

Active since August 05, 2008Opted out of Medicare · through Jan 1, 2028
2751 DEBARR RD STE 310, ANCHORAGE, AK 99508(907) 277-9700(907) 868-1215 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Staci L Johnson Aprn NPPES

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

STACI L JOHNSON APRN (NPI 1538325907) is an individual family provider in Anchorage, Alaska, licensed in Alaska (1097) and active in the NPI registry since August 2008. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1538325907
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACI L JOHNSONCredential: APRN
Location Address2751 DEBARR RD STE 310Anchorage, AK 99508-6804
Mailing Address2751 Debarr Rd Ste 310Anchorage, AK 99508-6804 · (907) 277-9700 · Fax (907) 868-1215
Phone(907) 277-9700
Fax(907) 868-1215
Sole ProprietorYes
Enumeration DateAugust 5, 2008
Last NPPES UpdateSeptember 29, 2020
NPPES CertifiedSeptember 29, 2020
✔ NPI 1538325907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AK · 1097
Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X · License 1097 (AK)
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 1097 (AK)
2751 DEBARR RD STE 310, Anchorage, AK 99508
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Other Identifiers 1

Medicaid1022282AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Staci L Johnson Aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

ALASKA PATIENTS FIRST LLC
Pain Medicine (Interventional Pain Medicine)
2751 DEBARR RD STE 310
ANCHORAGE, AK 99508
Anchorage Municipality (907) 277-9700
CURA WOUND CARE SUPPLY LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
2751 DEBARR RD STE 310
ANCHORAGE, AK 99508
Anchorage Municipality (907) 277-9700
ALASKA PATIENTS FIRST LLC
Pain Medicine (Interventional Pain Medicine)
2751 DEBARR RD STE 310
ANCHORAGE, AK 99508
Anchorage Municipality (907) 277-9700
TODD DILL CSA
Specialist/Technologist, Other (Surgical Assistant)
2751 DEBARR RD STE 310
ANCHORAGE, AK 99508
Anchorage Municipality (907) 279-2663
ALASKA PAIN TO WELLNESS CENTRE LLC
Pain Medicine (Interventional Pain Medicine)
2751 DEBARR RD STE 310
ANCHORAGE, AK 99508
Anchorage Municipality (907) 277-9700
SURGICAL SPECIALISTS OF ALASKA
Clinic/Center (Multi-Specialty)
2751 DEBARR RD STE 310
ANCHORAGE, AK 99508
Anchorage Municipality (907) 277-9700

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 Staci Johnson's NPI number?

The NPI number for Staci Johnson is 1538325907. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Staci Johnson located?

Staci Johnson practices at 2751 Debarr Rd Ste 310, Anchorage, AK 99508. The listed phone number is (907) 277-9700.

What is Staci Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Staci Johnson enrolled in Medicare?

No. Staci Johnson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Staci Johnson accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Staci 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 Staci Johnson was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.