TERESA JOHNSON APRN
NPI 1639690191
Nurse Practitioner in Carterville, IL

Q: What is Teresa Johnson's NPI number?

The NPI number for Teresa Johnson is 1639690191. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Q: What is Teresa Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Teresa Johnson was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since July 05, 2017PECOS EnrolledAccepts Medicare Assignment

1006 S DIVISION ST, CARTERVILLE, IL 62918(618) 519-9200(618) 985-3774 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Jan 24, 2022, Dec 31, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Teresa Johnson Aprn NPPES

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

TERESA JOHNSON APRN (NPI 1639690191) is an individual nurse practitioner in Carterville, Illinois, licensed in Illinois (209014846) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and maintains a secondary practice location in Murphysboro.

NPPES Registry Identity

NPI1639690191

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTERESA JOHNSONCredential: APRN

Location Address1006 S DIVISION STCarterville, IL 62918-1539

Mailing Address109 California St, Po Box 577Carterville, IL 62918-0577 · (161) 851-9920 · Fax (618) 985-4635

Phone(618) 519-9200

Fax(618) 985-3774

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 5, 2017

Last NPPES UpdateJanuary 14, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1639690191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209014846

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.

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 209.014846 (IL)

1006 S DIVISION ST, Carterville, IL 62918

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Secondary Practice Location 1

Location 17 S Hospital DrMurphysboro, IL 62966-3333 · Phone (161) 851-9920 · Fax (618) 684-2478

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Teresa Johnson Aprn 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 ID42557845

PECOS Enrollment IDI20190201001502

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 2

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

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141334

Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62918 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 17

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

KATIE SURMAN RD

Dietitian, Registered