ELIZABETH ANN JOHNSON FNP
NPI 1669004081
Nurse Practitioner - Family in Jacksonville, IL

Q: What is Elizabeth Johnson's NPI number?

The NPI number for Elizabeth Johnson is 1669004081. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Q: What is Elizabeth 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 Elizabeth Johnson was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 05, 2020PECOS EnrolledAccepts Medicare Assignment

72.14/100

CMS Quality Rating

1600 W WALNUT ST, JACKSONVILLE, IL 62650(217) 602-1595 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 2, 2026, Feb 5, 2020 (2 updates tracked since 2020).

On this page

About Elizabeth Ann Johnson Fnp NPPES

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

ELIZABETH ANN JOHNSON FNP (NPI 1669004081) is an individual family provider in Jacksonville, Illinois, licensed in Illinois (209020571) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669004081

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELIZABETH ANN JOHNSONCredential: FNP

Location Address1600 W WALNUT STJacksonville, IL 62650-1136

Mailing Address1600 W Walnut StJacksonville, IL 62650-1199 · (217) 479-5729

Phone(217) 602-1595

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 5, 2020

Last NPPES UpdateApril 2, 20262 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1669004081 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 · 209020571

1600 W WALNUT ST, Jacksonville, IL 62650

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1420 N 34th StQuincy, IL 62301-7431 · Phone (217) 223-8400 · Fax (217) 277-3960

Location 21005 Broadway StQuincy, IL 62301-2834 · Phone (217) 223-8400 · Fax (217) 277-3960

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

Elizabeth Ann Johnson Fnp 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 ID8820429384

PECOS Enrollment IDI20200516000419

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

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.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62650 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.14/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.96

Improvement Activities

Cost

53.06

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.

HEALTHCARE NETWORK ASSOCIATES

Clinic/Center (Multi-Specialty)