TRICIA SUE JOHNSON APN
NPI 1639457526
Nurse Practitioner in Moline, IL
About Tricia Sue Johnson Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRICIA SUE JOHNSON APN (NPI 1639457526) is an individual nurse practitioner in Moline, Illinois, licensed in Illinois (209.008926) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Tricia Sue 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 Reassignment
Medicare enrollment records show Tricia Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Moline, IL 61265
- Reassigned Medicare billing, Iowa and Illinois enrollments
- 93 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.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinity Rock Island
Acute Care Hospitals · Rock Island, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61265 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.
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 Tricia Johnson's NPI number?
The NPI number for Tricia Johnson is 1639457526. It was assigned to this individual provider in the NPPES registry on July 27, 2011. The provider is also known as Tricia Sue Larson.
Where is Tricia Johnson located?
Tricia Johnson practices at 520 Valley View Dr, Moline, IL 61265. The listed phone number is (309) 762-3621.
What is Tricia Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tricia Johnson enrolled in Medicare?
Yes. Tricia 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 organization bills Medicare for Tricia Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tricia Johnson reassigns Medicare benefits to Ora Orthopedics PC (Moline, IL). The 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 Tricia Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tricia Johnson affiliated with any hospitals?
According to CMS data, Tricia Johnson is affiliated with Trinity Rock Island.
When was this NPI record last updated?
The NPPES record for Tricia Johnson was last updated on July 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Tricia Sue Johnson, APN · NPI 1639457526
Nurse Practitioner physician in Moline, Illinois. Individual provider, active in the CMS NPPES registry since July 27, 2011.
## Identity
- **NPI:** 1639457526 (Entity type: Individual)
- **Enumerated:** July 27, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209.008926 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 VALLEY VIEW DR, Moline, IL 61265-6194
- **Phone:** (309) 762-3621 · **Fax:** (309) 762-3690
## 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:** Ora Orthopedics PC (NPI 1962481861, Moline, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 27, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1639457526) · Data from the CMS NPPES public registry.