MORIAH JOHNSON APRN-FNP-C
NPI 1750920039
Nurse Practitioner in Peoria, IL

Q: What is Moriah Johnson's NPI number?

The NPI number for Moriah Johnson is 1750920039. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Q: What is Moriah 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 Moriah Johnson was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 03, 2020PECOS EnrolledAccepts Medicare Assignment

5405 N KNOXVILLE AVE, PEORIA, IL 61614(309) 691-4410 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2020, Feb 20, 2020, Jan 3, 2020 (3 updates tracked since 2020).

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About Moriah Johnson Aprn-fnp-c NPPES

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

MORIAH JOHNSON APRN-FNP-C (NPI 1750920039) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209019632) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750920039

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMORIAH JOHNSONCredential: APRN-FNP-C

Location Address5405 N KNOXVILLE AVEPeoria, IL 61614-5016

Mailing Address5405 N Knoxville AvePeoria, IL 61614-5016 · (309) 691-4410

Phone(309) 691-4410

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 3, 2020

Last NPPES UpdateMarch 11, 20203 updates tracked since enumeration

NPPES CertifiedMarch 11, 2020

✔ NPI 1750920039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209019632

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.

5405 N KNOXVILLE AVE, Peoria, IL 61614

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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

Moriah Johnson Aprn-fnp-c 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 ID8224466305

PECOS Enrollment IDI20200324001733

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 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.

481 services420 patients

Hospital Affiliations CMS Care Compare 5

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140001

Location210 West Walnut StreetCanton, IL 61520 · Fulton County

Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140064

Location3333 North SeminaryGalesburg, IL 61401 · Knox County

Emergency services Birthing friendly

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

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141325

Location1051 West South StreetKewanee, IL 61443 · Henry County

Emergency services

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL

OwnershipGovernment - Local

CMS Certification Number141337

Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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.

CHRISTINE C PERKS MD

Internal Medicine (Cardiovascular Disease)