Active NPI
Joyce Johnson, M.D.
- Family Medicine Physician
- Dixon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-137459
- Practice address
- 102 S Hennepin Ave
Dixon, IL 61021 - Phone
- (815) 285-8520
- Fax
- (815) 285-8903
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-137459 | IL | Primary |
| Emergency Medicine Physician | 207P00000X | 036-137459 | IL |
Addresses
Primary practice location
102 S Hennepin Ave
Dixon, IL 61021
Mailing address
102 S Hennepin Ave
Dixon, IL 61021-3083
Phone (815) 285-8908
Other practice location 1
403 E 1st St
Dixon, IL 61021-3116
Phone (815) 285-5552
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036137459 | Medicaid | IL | |
| F400269703 | Other | IL | MEDICARE |
| F400248216 | Other | IL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
102 S Hennepin Ave
Suite 201
Dixon, IL 61021-3013
Phone (815) 288-7711
124 SW Adams St
Peoria, IL 61602-1308
403 E 1St St
Dixon, IL 61021-3116
Phone (815) 288-5531
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.78 of 100
- Quality
- 60.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-137459 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Katherine Shaw Bethea Hospital | Current | Accepting new patients | |
| KSB Medical Group, Inc. | Current | Accepting new patients | |
| Cardinal Medical Group, LTD. | Family Medicine | Past | Accepting new patients |
Locations
215 E 1st St
Ste 111
Dixon, IL 61021
Phone (815) 285-5477
403 E 1st St
Dixon, IL 61021
Phone (815) 285-5629
102 S Hennepin Ave
Dixon, IL 61021
Phone (815) 285-8520
215 E 1st St
Ste 117
Dixon, IL 61021
Phone (815) 285-5900
102 S Hennepin Ave
Ste 102
Dixon, IL 61021
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1427043546
-
- Family Medicine Physician
- Dixon, IL
- NPI 1073592119
-
- Clinic/Center
- Dixon, IL
- NPI 1629046115
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Multi-Specialty Clinic/Center
- Peoria, IL
- NPI 1992829485
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- General Acute Care Hospital
- Pontiac, IL
- NPI 1407808090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1033464987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S HENNEPIN AVE",
"city": "DIXON",
"state": "IL",
"postal_code": "610213083",
"telephone_number": "815-285-8908",
"fax_number": "815-285-8903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S HENNEPIN AVE",
"city": "DIXON",
"state": "IL",
"postal_code": "61021",
"telephone_number": "815-285-8520",
"fax_number": "815-285-8903"
}
],
"practiceLocations": [
{
"address_1": "403 E 1st St",
"address_purpose": "LOCATION",
"city": "Dixon",
"state": "IL",
"postal_code": "610213116",
"country_code": "US",
"telephone_number": "815-285-5552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JOYCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-137459",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-137459",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036137459",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "F400269703",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "F400248216",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.