MICHELLE L. JOHNSON APN
NPI 1619328614
Nurse Practitioner in Galesburg, IL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Michelle Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Galesburg, IL 61401
- Reassigned Medicare billing, Illinois enrollment
- 101 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center
Acute Care Hospitals · Galesburg, ILSaint Francis Medical Center
Acute Care Hospitals · Peoria, ILPhysician 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.
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.
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.
Which organizations bill Medicare for Michelle Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Johnson reassigns Medicare benefits to 2 organizations: St Mary Medical Center (Galesburg, IL) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michelle Johnson affiliated with any hospitals?
According to CMS data, Michelle Johnson is affiliated with St Mary Medical Center and Saint Francis 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Michelle L. Johnson, APN · NPI 1619328614
Nurse Practitioner physician in Galesburg, Illinois. Individual provider, active in the CMS NPPES registry since June 30, 2016.
## Identity
- **NPI:** 1619328614 (Entity type: Individual)
- **Enumerated:** June 30, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209.014393 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3375 N SEMINARY ST, Galesburg, IL 61401-1251
- **Phone:** (309) 343-5114 · **Fax:** (309) 343-7859
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Mary Medical Center (NPI 1457308710, Galesburg, IL); Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 30, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1619328614) · Data from the CMS NPPES public registry.