STACEY JOHNSON APRN, CNP
NPI 1689005993
Nurse Practitioner - Obstetrics & Gynecology in Little Rock, AR
About Stacey Johnson Aprn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY JOHNSON APRN, CNP (NPI 1689005993) is an individual obstetrics & gynecology provider in Little Rock, Arkansas, licensed in Arkansas (A003751) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey Johnson Aprn, Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Stacey Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 2,038 clinicians in this Medicare group
Conway, AR 72034
- Reassigned Medicare billing, Arkansas enrollment
- 2 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72205 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72205
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 1689005993. It was assigned to this individual provider in the NPPES registry on December 12, 2013.
Where is Stacey Johnson located?
Stacey Johnson practices at 4301 W Markham St # 519, Little Rock, AR 72205. The listed phone number is (501) 526-7017.
What is Stacey Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Stacey Johnson enrolled in Medicare?
Yes. Stacey Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stacey Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Johnson reassigns Medicare benefits to 2 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR) and Conway Regional Medical Center Inc (Conway, AR). Each 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 Stacey Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacey Johnson accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave 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.
When was this NPI record last updated?
The NPPES record for Stacey Johnson was last updated on December 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Stacey Johnson, APRN, CNP · NPI 1689005993
Obstetrics & Gynecology physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since December 12, 2013.
## Identity
- **NPI:** 1689005993 (Entity type: Individual)
- **Enumerated:** December 12, 2013
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** A003751 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 W MARKHAM ST # 519, Little Rock, AR 72205-7101
- **Phone:** (501) 526-7017
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Sciences (NPI 1043372220, Little Rock, AR); Conway Regional Medical Center Inc (NPI 1528722501, Conway, AR) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1689005993) · Data from the CMS NPPES public registry.