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STACEY JOHNSON FNP/BC
NPI 1679978803
Nurse Practitioner - Family in Coal City, IL

Active since October 30, 2014PECOS EnrolledAccepts Medicare Assignment
4 E NORTH ST, COAL CITY, IL 60416(815) 518-5755(815) 634-4097 Get Directions Write a Review

NPPES record last updated: November 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 25, 2019, Mar 17, 2018, Jun 1, 2017 and 1 more (4 updates tracked since 2016).

About Stacey Johnson Fnp/bc NPPES

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

STACEY JOHNSON FNP/BC (NPI 1679978803) is an individual family provider in Coal City, Illinois, licensed in Illinois (209012102) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Morris Hospital & Healthcare Centers, and maintains a secondary practice location in Morris.

NPPES Registry Identity

NPI1679978803
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY JOHNSONCredential: FNP/BC
Location Address4 E NORTH STCoal City, IL 60416-1087
Mailing Address725 School St Ste AMorris, IL 60450-1207 · (815) 941-9124 · Fax (815) 941-9128
Phone(815) 518-5755
Fax(815) 634-4097
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 30, 2014
Last NPPES UpdateNovember 25, 20194 updates tracked since enumeration
✔ NPI 1679978803 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 · 209012102
4 E NORTH ST, Coal City, IL 60416
Open in Google Maps ↗

Other Names 1

Former Name (1)Stacey Mcguan Fnp/bc

Secondary Practice Location 1

Location 1425 E US Route 6Morris, IL 60450-9042 · Phone (815) 942-8080 · Fax (815) 941-4105

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Stacey Johnson Fnp/bc 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 ID941523047
PECOS Enrollment IDI20141222001341
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 6

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.
189 services115 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services89 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
104 services104 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services15 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Morris Hospital & Healthcare Centers

Acute Care Hospitals · Morris, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140101
Location150 W High StMorris, IL 60450 · Grundy County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60416 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$12.55 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$70.00 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$14.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

LIBERTY MEDICAL CENTER COAL CITY SC
Family Medicine
4 E NORTH ST
COAL CITY, IL 60416
Grundy County (815) 634-4099
SAIMA ABDUL KARIM FNP-BC
Nurse Practitioner (Family)
4 E NORTH ST
COAL CITY, IL 60416
Grundy County (815) 634-4099
AAMAIR TAJUDDIN D.O.
Pediatrics
4 E NORTH ST
COAL CITY, IL 60416
Grundy County (815) 518-5755

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 Stacey Johnson's NPI number?

The NPI number for Stacey Johnson is 1679978803. It was assigned to this individual provider in the NPPES registry on October 30, 2014. The provider is also known as Stacey Mcguan Fnp/Bc.

Where is Stacey Johnson located?

Stacey Johnson practices at 4 E North St, Coal City, IL 60416. The listed phone number is (815) 518-5755.

What is Stacey Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stacey Johnson enrolled in Medicare?

Yes. Stacey 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.

What insurance does Stacey Johnson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Stacey Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stacey Johnson affiliated with any hospitals?

According to CMS data, Stacey Johnson is affiliated with Morris Hospital & Healthcare Centers.

When was this NPI record last updated?

The NPPES record for Stacey Johnson was last updated on November 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.