Individual provider Active NPI

Belinda R Johnson, NP

  • Nurse Practitioner
  • New Albany, MS
National Provider Identifier
1275285652
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.025705 Issued in IL
Practice address
1034 Serenity LN
New Albany, MS 38652-9177
Phone
(662) 668-1333
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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 904425 MS
Nurse Practitioner 363L00000X 209.025705 IL Primary

Addresses

Primary practice location

1034 Serenity LN
New Albany, MS 38652-9177

Mailing address

1034 Serenity LN
New Albany, MS 38652-9177
Phone (662) 668-1333

Other practice location 1

515 N Main St
Anna, IL 62906-1668
Phone (618) 833-4511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, IL, MO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220711000114 MS Practitioner - Nurse Practitioner 7911387725 Reassigns benefits to 1 organization
I20221026002848 IL Practitioner - Nurse Practitioner 7911387725 Reassigns benefits to 1 organization
I20240522001777 MO Practitioner - Nurse Practitioner 7911387725 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Lukes Hospital of ChillicotheGroup PAC ID 0143130393, shared by 4 NPIs, 25 clinicians

Practice addresses (Care Compare)

2791 N Washington St
OBGYN Hedrick Surg Assoc
Chillicothe, MO 64601-2902
Phone (816) 646-1480

Hospital & facility affiliations

  • Hedrick Medical Center Hospital, Chillicothe, MO, CCN 261321

Merit-based Incentive Payment System (MIPS)

Final score
77.51 of 100Reported as group
Quality
49.04
Promoting interoperability
95
Improvement activities
40
Cost
69.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.025705ILMDNurse Practitioner
904425MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner CurrentSince Jan 14, 2023 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner Current Accepting new patients
Saint Luke'S Hospital of Trenton Family CurrentSince Jun 19, 2024 Accepting new patients
Hospital Medicine Associates LLC Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Jun 19, 2024 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince May 1, 2024 Accepting new patients
Deaconess Illinois Specialty Clinic, Inc. Nurse Practitioner CurrentSince Jan 14, 2023 Accepting new patients
Saint Luke'S Hospital of Trenton CurrentSince Jul 1, 2025 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince Jul 1, 2025 Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince May 1, 2024 Accepting new patients
Saint Luke'S Hospital of Trenton Past Accepting new patients

Locations

515 N Main St
Anna, IL 62906
Phone (618) 833-2872

303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050

509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939

2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300

2791 N Washington St
Chillicothe, MO 64601
Phone (816) 646-1480

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

Interoperability endpoints

  • Direct secure messaging: bjohnson214337@direct.saint-lukes.org
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 11

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 1

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": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1275285652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 SERENITY LN",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386529177",
            "telephone_number": "662-668-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 SERENITY LN",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386529177",
            "telephone_number": "662-668-1333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 N Main St",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "IL",
            "postal_code": "629061668",
            "country_code": "US",
            "telephone_number": "618-833-4511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BELINDA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904425",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.025705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, MS

Sources for this page

Verify at the official NPI Registry.