JOHANNA SHEA ESTES RD, IBCLC, MSNFNP-C - NPI 1558685156 - Nurse Practitioner in Mount Vernon, IL

Q: What is Johanna Estes's NPI number?

The NPI number for Johanna Estes is 1558685156. It was assigned to this individual provider in the NPPES registry on March 25, 2010.

Q: What is Johanna Estes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Johanna Estes was last updated on June 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Johanna Shea Estes Rd, Ibclc, Msnfnp-c NPPES

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

JOHANNA SHEA ESTES RD, IBCLC, MSNFNP-C (NPI 1558685156) is an individual family provider in Mount Vernon, Illinois, licensed in Illinois (209027598) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558685156

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJOHANNA SHEA ESTESCredential: RD, IBCLC, MSNFNP-C

Location Address4101 N WATER TOWER PLMount Vernon, IL 62864-6296

Mailing Address8 Doctors Park RdMount Vernon, IL 62864-6224 · (618) 244-5500 · Fax (618) 246-1247

Phone(618) 244-6222

Fax(618) 246-1247

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 25, 2010

Last NPPES UpdateJune 23, 20232 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1558685156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209027598

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209027598 (IL)

4101 N WATER TOWER PL, Mount Vernon, IL 62864

Open in Google Maps ↗

Other Names 1

Former Name (1)Johanna Shea Ballard

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

Johanna Shea Estes Rd, Ibclc, Msnfnp-c 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 ID244361830

PECOS Enrollment IDI20100625000436, I20230706002057

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.

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140046

Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County

Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL

OwnershipProprietary

CMS Certification Number140294

Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County

Emergency services

Franklin Hospital

Critical Access Hospitals · Benton, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141321

Location201 Bailey LaneBenton, IL 62812 · Franklin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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.

Other Providers at the Same Location NPPES 9

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

CROSSROADS PHYSICIAN CORP

Internal Medicine