HEATHER JOHNSON
NPI 1841661287
Nurse Practitioner - Acute Care in Mc Leansboro, IL

Active since October 12, 2015PECOS EnrolledAccepts Medicare Assignment
611 S MARSHALL AVE, MC LEANSBORO, IL 62859(618) 643-2361 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heather Johnson NPPES

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

HEATHER JOHNSON (NPI 1841661287) is an individual acute care provider in Mc Leansboro, Illinois, licensed in Illinois (209014879) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Hlth Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1841661287
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameHEATHER JOHNSON
Location Address611 S MARSHALL AVEMc Leansboro, IL 62859-1213
Mailing Address62 Il Highway 14Enfield, IL 62835-2314 · (618) 384-8332
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 12, 2015
Last NPPES UpdateJanuary 4, 2017
NPI 1841661287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in IL · 209014879 Licensed in IN · 71005773A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209014879 (IL), 71005773A (IN)
611 S MARSHALL AVE, Mc Leansboro, IL 62859

Other Names 1

Former Name (1)Heather Mitchell

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

Heather Johnson 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 ID7911208004
PECOS Enrollment IDI20170228000041
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.

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Hamilton Memorial Hospital

Critical Access Hospitals · Mcleansboro, IL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141326
Location611 S Marshall AvenueMcleansboro, IL 62859 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62859 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 4

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$8.58 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
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$184.87 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers18 claims18 services$24.63 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 20

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

Social Worker (Clinical)
611 S MARSHALL AVE
MC LEANSBORO, IL 62859
Nurse Anesthetist, Certified Registered
611 S MARSHALL AVE
MC LEANSBORO, IL 62859
Nurse Practitioner
611 S MARSHALL AVE
MC LEANSBORO, IL 62859
Physician Assistant
611 S MARSHALL AVE
MC LEANSBORO, IL 62859
Nurse Practitioner
611 S MARSHALL AVE
MC LEANSBORO, IL 62859
Internal Medicine
611 S MARSHALL AVE
MC LEANSBORO, IL 62859
Occupational Therapy Assistant
611 S MARSHALL AVE
MC LEANSBORO, IL 62859
Family Medicine
611 S MARSHALL AVE
MC LEANSBORO, IL 62859

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 Heather Johnson's NPI number?

The NPI number for Heather Johnson is 1841661287. It was assigned to this individual provider in the NPPES registry on October 12, 2015. The provider is also known as Heather Mitchell.

Where is Heather Johnson located?

Heather Johnson practices at 611 S Marshall Ave, Mc Leansboro, IL 62859. The listed phone number is (618) 643-2361.

What is Heather Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Heather Johnson enrolled in Medicare?

Yes. Heather 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.

Is Heather Johnson affiliated with any hospitals?

According to CMS data, Heather Johnson is affiliated with Good Samaritan Regional Hlth Center and Hamilton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Heather Johnson was last updated on January 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.