Individual provider Active NPI

Chelsea Dawn Johnson, M.D.

  • Pediatrics Physician
  • Liberty, MO
National Provider Identifier
1063443331
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2002010814 Issued in MO
Practice address
556 Rush Creek Pkwy Ste B
Liberty, MO 64068-9605
Phone
(816) 264-7576
NPI assigned
Jul 5, 2006
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 309040 NY
Pediatrics Physician 208000000X 202100618 NC
Pediatrics Physician 208000000X 2002010814 MO Primary
Pediatrics Physician 208000000X 0430269 KS

Addresses

Primary practice location

556 Rush Creek Pkwy Ste B
Liberty, MO 64068-9605

Mailing address

13412 NE 120TH St
Kearney, MO 64060-9085
Phone (816) 868-3045

Other practice location 1

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-0930

Other identifiers 1

IdentifierTypeStateIssuer
208820605MedicaidMO

Other names 1

  • Chelsea D Johnson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NY, TX, MO, CA, LA, VA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20220728003295 NC Practitioner - Pediatric Medicine 6103976204 Reassigns benefits to 1 organization
I20240219002652 NY Practitioner - Emergency Medicine 6103976204 Reassigns benefits to 1 organization
I20240820001777 TX Practitioner - Pediatric Medicine 6103976204 Reassigns benefits to 2 organizations
I20241220001734 MO Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 6103976204 Reassigns benefits to 2 organizations
I20250409002359 CA Practitioner - Emergency Medicine 6103976204 Reassigns benefits to 1 organization
I20250617003870 LA Practitioner - Pediatric Medicine 6103976204 Reassigns benefits to 1 organization
I20260209001315 VA Practitioner - Emergency Medicine 6103976204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1643 NW 136 Ave
Sunrise, FL 33323-2857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
309040NYMDEmergency Medicine Physician
0430269KSMDPediatrics Physician
202100618NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Emergency Medicine CurrentSince Apr 3, 2025 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Jan 8, 2024 Accepting new patients
Washington University CurrentSince Sep 1, 2025 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Jun 7, 2024 Accepting new patients
Albemarle Physician Services - Sentara, Inc CurrentSince Jul 15, 2022 Accepting new patients
Lester E Cox Medical Centers CurrentSince Nov 21, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Valley Children's Medical Group Pediatrics CurrentSince Jan 27, 2025 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Children's Hospital CurrentSince Apr 3, 2025 Accepting new patients
Concierge Care - Pediatrics LLC Pediatrics CurrentSince Nov 9, 2025 Accepting new patients
Lester E Cox Medical Centers CurrentSince Nov 21, 2025 Accepting new patients
Albemarle Physician Services - Sentara, Inc Pediatrics CurrentSince Jul 15, 2022 Accepting new patients
Washington University CurrentSince Sep 1, 2025 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Specialty Medical Group Central California, Inc. Pediatrics Past Accepting new patients

Locations

9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

556 Rush Creek Pkwy
Ste B
Liberty, MO 64068
Phone (816) 264-7576

1 Childrens Pl
Saint Louis, MO 63110
Phone (314) 454-2076

1 Childrens Pl
Ste C
Saint Louis, MO 63110
Phone (314) 454-2104

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

660 S Euclid Ave
Saint Louis, MO 63110

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Ste 1122
Springfield, MO 65807

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

905 Thunder Rd
Ste 210
Elizabeth City, NC 27909
Phone (252) 334-0460

1141 N Road St
Ste M
Elizabeth Cty, NC 27909
Phone (252) 338-2155

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

Interoperability endpoints

  • Direct secure messaging: cjohnson66889@valleychildrens-prd.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJJDD/Endpoint/CCJJDD

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1063443331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13412 NE 120TH ST",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640609085",
            "telephone_number": "816-868-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 RUSH CREEK PKWY STE B",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640689605",
            "telephone_number": "816-264-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075210",
            "country_code": "US",
            "telephone_number": "417-269-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHELSEA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "309040",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "202100618",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2002010814",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0430269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208820605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "JOHNSON",
            "middle_name": "D",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Liberty, MO

Sources for this page

Verify at the official NPI Registry.