Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIMEON SHIRELL JOHNSON APRN
NPI 1639940059
Nurse Practitioner - Family in Peoria, IL

Q: What is Simeon Johnson's NPI number?

The NPI number for Simeon Johnson is 1639940059. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Q: What is Simeon Johnson'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 Simeon Johnson was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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 January 15, 2024PECOS EnrolledAccepts Medicare Assignment

8940 N WOOD SAGE RD, PEORIA, IL 61615(309) 243-3000(309) 243-3040 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Simeon Shirell Johnson Aprn NPPES

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

SIMEON SHIRELL JOHNSON APRN (NPI 1639940059) is an individual family provider in Peoria, Illinois, licensed in Illinois (209028676) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639940059

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSIMEON SHIRELL JOHNSONCredential: APRN

Location Address8940 N WOOD SAGE RDPeoria, IL 61615-7822

Mailing Address8940 N Wood Sage RdPeoria, IL 61615-7822 · (309) 243-3000 · Fax (309) 243-3040

Phone(309) 243-3000

Fax(309) 243-3040

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 15, 2024

Last NPPES UpdateJuly 20, 2026

NPPES CertifiedJuly 20, 2026

✔ NPI 1639940059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209028676

8940 N WOOD SAGE RD, Peoria, IL 61615

Open in Google Maps ↗

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

Simeon Shirell 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 ID1153765029

PECOS Enrollment IDI20240219002938

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services77 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 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.

DEBRA E BEACH APN

Clinical Nurse Specialist