Active NPI
Belinda R Johnson, NP
- Nurse Practitioner
- New Albany, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.025705
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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 Chillicothe
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.51 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.025705 | IL | MD | Nurse Practitioner |
| 904425 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Saint Luke'S Hospital of Trenton | Family | Current | Accepting new patients |
| Hospital Medicine Associates LLC | Nurse Practitioner | Current | Accepting new patients |
| Saint Luke'S Hospital of Trenton | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Saint Luke'S Hospital of Trenton | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | 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
- bjohnson214337@direct.saint-lukes.org
- 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.
-
- Surgery Physician
- Marion, IL
- NPI 1972210235
Nurse Practitioner
-
- Hospitalist Physician
- Baton Rouge, LA
- NPI 1093758781
MS, Nurse Practitioner
-
- Critical Access Hospital
- Trenton, MO
- NPI 1841274057
-
- Emergency Medicine Physician
- Chillicothe, MO
- NPI 1245433127
-
- Critical Access Hospital
- Chillicothe, MO
- NPI 1912948308
-
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
Nurse Practitioner
-
- Orthopaedic Surgery Physician
- Benton, IL
- NPI 1629785183
Nurse Practitioner
-
- Emergency Medicine Physician
- Trenton, MO
- NPI 1851572234
-
- Medicare Defined Swing Bed Hospital Unit
- Chillicothe, MO
- NPI 1881638203
-
- Medicare Defined Swing Bed Hospital Unit
- Trenton, MO
- NPI 1821062688
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Chillicothe, MO
- NPI 1912948308
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.