MICHELLE L. JOHNSON APN
NPI 1619328614
Nurse Practitioner in Galesburg, IL

Active since June 30, 2016PECOS EnrolledAccepts Medicare Assignment
3375 N SEMINARY ST, GALESBURG, IL 61401(309) 343-5114(309) 343-7859 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle L. Johnson Apn NPPES

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

MICHELLE L. JOHNSON APN (NPI 1619328614) is an individual nurse practitioner in Galesburg, Illinois, licensed in Illinois (209.014393) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619328614
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE L. JOHNSONCredential: APN
Location Address3375 N SEMINARY STGalesburg, IL 61401-1251
Mailing Address3375 N Seminary StGalesburg, IL 61401-1251 · (309) 343-5114 · Fax (309) 343-7859
Fax(309) 343-7859
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 30, 2016
NPI 1619328614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209.014393
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3375 N SEMINARY ST, Galesburg, IL 61401

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

Michelle L. Johnson Apn 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 ID840584306
PECOS Enrollment IDI20160805000421
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.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Holy Family Medical Center

Critical Access Hospitals · Monmouth, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141318
Location1000 W Harlem AvenueMonmouth, IL 61462 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 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 20

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

Nutritionist
3375 N SEMINARY ST
GALESBURG, IL 61401
Family Medicine
3375 N SEMINARY ST
GALESBURG, IL 61401
Nurse Practitioner (Family)
3375 N SEMINARY ST
GALESBURG, IL 61401
Family Medicine
3375 N SEMINARY ST
GALESBURG, IL 61401
Nurse Practitioner
3375 N SEMINARY ST
GALESBURG, IL 61401
Nurse Practitioner
3375 N SEMINARY ST
GALESBURG, IL 61401
Family Medicine
3375 N SEMINARY ST
GALESBURG, IL 61401
Nurse Practitioner
3375 N SEMINARY ST
GALESBURG, IL 61401

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 Michelle Johnson's NPI number?

The NPI number for Michelle Johnson is 1619328614. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Michelle Johnson located?

Michelle Johnson practices at 3375 N Seminary St, Galesburg, IL 61401. The listed phone number is (309) 343-5114.

What is Michelle Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michelle Johnson enrolled in Medicare?

Yes. Michelle 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 Michelle Johnson affiliated with any hospitals?

According to CMS data, Michelle Johnson is affiliated with St Mary Medical Center, Saint Francis Medical Center and Osf Holy Family Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Johnson was last updated on June 30, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.