Carolyn Ilene Johnson, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

102947 Issued in IA

Practice address

516 Division St Ste 110
Cedar Falls, IA 50613-2381

Phone

(319) 268-3550

Fax

(319) 268-3855

NPI assigned

Jul 11, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Midwest Post Acute Care Aco PLLCGroup PAC ID 2961804976, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grundy County Memorial Hospital Hospital, Grundy Center, IA, CCN 161303
• Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Midwest Post Acute Care Aco PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1457926537

  IA

  Medicare reassignment Care Compare group NPD
• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074

  IA

  Medicare reassignment Care Compare group NPD

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

• Grundy County Memorial Hospital

  • Critical Access Hospital
  • Grundy Center, IA
  • NPI 1821055989
  Care Compare affiliation
• Sartori Memorial Hospital Inc

  • General Acute Care Hospital
  • Cedar Falls, IA
  • NPI 1942241955
  Care Compare affiliation

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1134417280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5228 E EAGLE RD",
            "city": "LA PORTE CITY",
            "state": "IA",
            "postal_code": "506512116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 DIVISION ST STE 110",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132381",
            "telephone_number": "319-268-3550",
            "fax_number": "319-268-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CAROLYN",
        "middle_name": "ILENE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "102947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber N Jacobs
• Bethany Kay Jacobsen, PT, ATC
• Erika Kay Jeanes, DPT
• Jennifer Leigh Jensen, D.C.
• Bradley Johannsen, DC
• Charles Johnson, PTA
• Janine Johnson, ARNP
• Kerri A Johnson, ARNP
• Michael L Johnson Jr., D.C.
• Roswell Maccallum Johnston, DO

• Nurse Practitioner in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.

Verify at the official NPI Registry.