Individual provider Active NPI

Brian Keith Johnson, FNP-C, CRNFA, MSN

  • Family Nurse Practitioner
  • Frankfort, IL
National Provider Identifier
1124180708
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95020729 Issued in CA
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

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120110000819 IL Practitioner - Nurse Practitioner 9537335716 Reassigns benefits to 4 organizations
I20250303001174 CA Practitioner - Nurse Practitioner 9537335716 Reassigns benefits to 4 organizations

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
Willits Hospital IncGroup PAC ID 7416940697, 67 clinicians
Adventist Health Mendocino CoastGroup PAC ID 3678990769, 57 clinicians

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 Hospital, Fort Bragg, CA, CCN 051325
  • Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310
  • Lawrence County Memorial Hospital Hospital, Lawrenceville, IL, CCN 141344
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as apm
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

LicenseStateTypeSpecialty
041-249147ILMDRegistered Nurse First Assistant
NP95020729CAMDFamily Nurse Practitioner
209009090ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ukiah Adventist Hospital CurrentSince Jan 1, 2026 Accepting new patients
Associated Pathologists, LLC Current Accepting new patients
Adventist Health Mendocino Coast CurrentSince Jan 1, 2026 Accepting new patients
Ukiah Adventist Hospital CurrentSince Feb 15, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 1, 2026 Accepting new patients
Crawford Hospital District Current Accepting new patients
Lawrence County Memorial Hospital CurrentSince Jul 9, 2025 Accepting new patients
Acute Care Surgery of South Dakota PC CurrentSince Sep 20, 2021 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 1, 2026 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 CurrentSince Dec 4, 2017 Accepting new patients
Adventist Health Mendocino Coast CurrentSince Jan 1, 2026 Accepting new patients
Willits Hospital Inc. CurrentSince Feb 15, 2025 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d97362bf-37fe-407d-8a05-be96ba9615b1/
  • FHIR API: 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.

View all 17

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.