Individual provider Active NPI

Dawn Marie Johns

  • Nurse Practitioner
  • O Fallon, MO
National Provider Identifier
1073903241
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2015001943 Issued in MO
Practice address
920 N Main St
O Fallon, MO 63366-1746
Phone
(314) 687-2731
NPI assigned
Jan 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015001943 MO
Nurse Practitioner 363L00000X 2015001943 MO Primary

Addresses

Primary practice location

920 N Main St
O Fallon, MO 63366-1746

Mailing address

PO Box 955534
Saint Louis, MO 63195-5534

Other practice location 1

974 Daffodil Ridge Dr
O Fallon, MO 63366-7758
Phone (636) 627-8211

Other names 1

  • Dawn Marie Johns Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address djohns181846@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151119002267 MO Practitioner - Nurse Practitioner 5496055626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

1035 Bellevue Ave
Suite 500
Saint Louis, MO 63117-1843
Phone (314) 925-4770

6994 Mexico Rd
Saint Peters, MO 63376-1512
Phone (636) 397-3231

Hospital & facility affiliations

  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015001943MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Dec 22, 2020 Accepting new patients
SSM Medical Group, Inc. CurrentSince Sep 1, 2016 Accepting new patients
SSM Medical Group Inc. CurrentSince Sep 1, 2016 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

917 Chesterfield Pkwy E
Chesterfield, MO 63017
Phone (314) 687-2719

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1120 Shackelford Rd
Florissant, MO 63031
Phone (314) 830-5805

1000 Crossroads Pl
High Ridge, MO 63049
Phone (314) 687-2722

2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520

920 N Main St
O Fallon, MO 63366
Phone (314) 687-2731

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

6994 Mexico Rd
Saint Peters, MO 63376
Phone (636) 397-3231

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1073903241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N MAIN ST",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661746",
            "telephone_number": "314-687-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "974 Daffodil Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633667758",
            "country_code": "US",
            "telephone_number": "636-627-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015001943",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2015001943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djohns181846@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "djohns181846@direct-ehr-ssmhc.com",
            "address_1": "1000 Crossroads Pl",
            "city": "High Ridge",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630492234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1000 Crossroads Pl",
            "city": "High Ridge",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630492234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "JOHNS",
            "middle_name": "MARIE",
            "credential": "RN,BSN,NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.