JILL M JOHNSON
NPI 1821507492
Nurse Practitioner - Psychiatric/Mental Health in Summersville, WV
NPI Status: Active since September 26, 2017
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
- PECOS Enrolled
About JILL JOHNSON
Jill Johnson is a provider established in Summersville, West Virginia and her medical specialization is Nurse Practitioner with a focus in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1821507492 assigned on September 2017. The practitioner's primary taxonomy code is 363LP0808X with license number PMHNP71327WV (WV). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1821507492
- Provider Name
- JILL M JOHNSON
- Other Name
- JILL KAPPLE
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 415 MAIN ST SUMMERSVILLE, WV 26651
- Location Phone
- (304) 872-1663
- Mailing Address
- 415 MAIN ST SUMMERSVILLE, WV 26651
- Mailing Phone
- (304) 872-1663
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-26-2017
- Last Update Date
- 03-21-2022
- Code Navigator
A nurse practitioner (NP) like Jill Johnson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PMHNP71327WV
- License State
- WV
Location Map
Secondary Locations
- 2121 7th St
Parkersburg, WV 26101
(304) 485-1721 - 3194 Core Rd
Parkersburg, WV 26104
(304) 485-5185 - 2515 Washington Blvd
Belpre, OH 45714
(304) 485-5185 - 936 Market St
Parkersburg, WV 26101
(304) 422-7300
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
CareSource
- CareSource Marketplace Bronze First - HMO
- CareSource Marketplace Bronze First Dental, Vision, & Fitness - HMO
- CareSource Marketplace Core Gold - HMO
- CareSource Marketplace Core Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Core Silver - HMO
- CareSource Marketplace Core Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Diabetes Gold - HMO
- CareSource Marketplace Diabetes Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Diabetes Silver - HMO
- CareSource Marketplace Diabetes Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Gold - HMO
- CareSource Marketplace Gold Dental, Vision, & Fitness - HMO
- CareSource Marketplace Low Deductible Silver - HMO
- CareSource Marketplace Low Deductible Silver Dental, Vision, & Fitness - HMO
- CareSource Marketplace Low Premium Silver - HMO
Highmark Blue Cross Blue Shield West Virginia
- my Blue Access WV Major Events PPO Catastrophic 9450 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7100 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Silver 7000 - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 1500 - PPO
- my Blue Access WV PPO Standard Silver 5900 - PPO
- my Blue Access WV PPO Standard Silver 5900 + Adult Dental and Vision - PPO
Molina Healthcare
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
PECOS Enrollment and Medicare Participation Status
Jill Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 26651 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.84
- Minimum New Patient Price $55.31
- Maximum New Patient Price $170.81
- Average New Patient Copayment $21.46
- Minimum New Patient Copayment $13.82
- Maximum New Patient Copayment $42.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.99
- Minimum Established Patient Price $16.61
- Maximum Established Patient Price $138.83
- Average Established Patient Copayment $24.74
- Minimum Established Patient Copayment $4.15
- Maximum Established Patient Copayment $34.7
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 2 | 1 | 5 | 0 | 7 | 4 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 4 | 1 | 10 | 0 | 14 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 4 + 1 + 1 + 0 + 0 + 1 + 4 + 4 + 1 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1821507492 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831375260 | SUMMERSVILLE MULTI- CLINIC Organization | Specialist | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-5500 |
| 1376790170 | HEATHER N SHARP-SPINKS MSW, LICSW, CAC, CCS Individual | Social Worker | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-1663 |
| 1437540374 | SARA SANSON PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 226-5725 |
| 1154312452 | KATHY HAMON DO Individual | Family Medicine | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-1663 |
| 1659894509 | MRS. ELIZABETH ANTOINETTE BROOKE MS, NCC, LPC Individual | Counselor (Professional) | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-1663 |
| 1013590744 | CAMDEN ON GAULEY MEDICAL CENTER INC Organization | Dentist (General Practice) | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-1663 |
| 1346353125 | MR. CHARLES G RIDDLE DDS Individual | Dentist (General Practice) | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-1663 |
| 1134521966 | CAMDEN ON GAULEY MEDICAL CENTER, INC. Organization | Pharmacy (Community/Retail Pharmacy) | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-1663 |
| 1508372228 | CAMDEN ON GAULEY MEDICAL CENTER INC Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 226-5725 |
| 1295824365 | MIRAFLOR G KHORSHAD MD Individual | Family Medicine | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-5500 |
| 1205183357 | MRS. BETH MARIE HUDSPETH FNP-C Individual | Nurse Practitioner (Family) | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-1663 |
| 1558757955 | CAMDEN ON GAULEY MEDICAL CENTER INC Organization | Pharmacy (Clinic Pharmacy) | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-1663 |
| 1780466029 | MRS. AMANDA DAWN BAUGHMAN SHELTON MSW Individual | Social Worker | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-1663 |
| 1245455914 | DR. WILLIAM HOWARD MASON II DDS Individual | Dentist (General Practice) | 415 MAIN ST SUMMERSVILLE, WV 26651 (304) 872-1663 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821507492, enumerated in the NPI registry as an "individual" on September 26, 2017
The provider is located at 415 Main St Summersville, Wv 26651 and the phone number is (304) 872-1663
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider might be accepting Accepts: CareSource, Highmark Blue Cross Blue Shield West. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.84 with an average copayment of $21.46 for new patient appointments. Established patients should expect a typical charge of $98.99 and an average copayment of 24.74. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 26, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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