Active NPI
Brian Keith Johnson, FNP-C, CRNFA, MSN
- Family Nurse Practitioner
- Frankfort, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95020729
- Practice address
- 21200 S Lagrange Rd
Suite 134
Frankfort, IL 60423-2003 - Phone
- (708) 256-0816
- Fax
- (815) 534-5576
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 041-249147 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209009090 | IL | |
| Family Nurse Practitioner | 363LF0000X | NP95020729 | CA | Primary |
Addresses
Primary practice location
21200 S Lagrange Rd
Suite 134
Frankfort, IL 60423-2003
Mailing address
21200 S Lagrange Rd
Suite 134
Frankfort, IL 60423-2003
Phone (708) 256-0816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801
3 Marcela Dr
Suite D
Willits, CA 95490-5769
Phone (707) 459-4220
700 River Dr
Fort Bragg, CA 95437-5403
Phone (707) 961-1234
Hospital & facility affiliations
- Adventist Health Mendocino Coast
- Crawford Memorial Hospital
- Adventist Health Howard Memorial
- Lawrence County Memorial Hospital
- Adventist Health Ukiah Valley
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-249147 | IL | MD | Registered Nurse First Assistant |
| NP95020729 | CA | MD | Family Nurse Practitioner |
| 209009090 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Associated Pathologists, LLC | Current | Accepting new patients | |
| Adventist Health Mendocino Coast | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Crawford Hospital District | Current | Accepting new patients | |
| Lawrence County Memorial Hospital | Current | Accepting new patients | |
| Acute Care Surgery of South Dakota PC | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Little Company of Mary Affiliated Services Inc | Current | Accepting new patients | |
| Lawrence County Memorial Hospital | Current | Accepting new patients | |
| Little Company of Mary Affiliated Services Inc | Current | Accepting new patients | |
| Adventist Health Mendocino Coast | Current | Accepting new patients | |
| Willits Hospital Inc. | Current | Accepting new patients | |
| Lawrence County Memorial Hospital | Current | Accepting new patients | |
| Crawford Hospital District | Past | Accepting new patients |
Locations
15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030
700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234
260 Hospital Dr
Ste 107
Ukiah, CA 95482
Phone (707) 463-8003
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001
405 W Jackson St
Carbondale, IL 62901
2800 W 87th St
Chicago, IL 60652
Phone (312) 423-4200
2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000
19 E Shawnee Dr
Murphysboro, IL 62966
Phone (618) 684-2172
5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273
12450 S Harlem Ave
Palos Heights, IL 60463
Phone (708) 448-1207
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
1000 N Allen St
Ste C
Robinson, IL 62454
Phone (618) 546-1294
1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131
1002 N Allen St
Ste B
Robinson, IL 62454
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d97362bf-37fe-407d-8a05-be96ba9615b1/
- https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
Organizations & group practices 17
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.
-
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
-
- Critical Access Hospital
- Lawrenceville, IL
- NPI 1396024162
-
- Critical Access Hospital
- Lawrenceville, IL
- NPI 1881643401
-
- Urgent Care Clinic/Center
- Oak Lawn, IL
- NPI 1033162086
-
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1730797184
IL
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- Internal Medicine Physician
- Robinson, IL
- NPI 1861423287
-
- Rural Health Clinic/Center
- Lawrenceville, IL
- NPI 1811183692
-
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1588617260
-
- Rural Health Clinic/Center
- Fort Bragg, CA
- NPI 1124220249
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Robinson, IL
- NPI 1265493720
-
- Critical Access Hospital
- Lawrenceville, IL
- NPI 1881643401
-
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738540800000",
"number": "1124180708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21200 S LAGRANGE RD",
"address_2": "SUITE 134",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604232003",
"telephone_number": "708-256-0816",
"fax_number": "815-534-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21200 S LAGRANGE RD",
"address_2": "SUITE 134",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604232003",
"telephone_number": "708-256-0816",
"fax_number": "815-534-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BRIAN",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "FNP-C, CRNFA, MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "IL",
"license": "041-249147",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209009090",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95020729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.