Active NPI
Rachel Michelle Johnson, APRN, CNP
- Nurse Practitioner
- Sycamore, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209028599
- Practice address
- 1850 Gateway Dr
Sycamore, IL 60178-3192 - Phone
- (815) 766-9841
- Fax
- (815) 758-5491
- NPI assigned
- Oct 30, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | STUDENT | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209028599 | IL | |
| Nurse Practitioner | 363L00000X | 209028599 | IL | Primary |
Addresses
Primary practice location
1850 Gateway Dr
Sycamore, IL 60178-3192
Mailing address
1850 Gateway Dr
Sycamore, IL 60178-3192
Phone (815) 766-9841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1850 Gateway Dr
Suite 202
Sycamore, IL 60178-3192
Phone (815) 766-9260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STUDENT | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
1850 Gateway Dr
Sycamore, IL 60178
Phone (815) 217-3252
1850 Gateway Dr
Ste 202
Sycamore, IL 60178
Phone (815) 766-9260
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1285406512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 GATEWAY DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783192",
"telephone_number": "815-766-9841",
"fax_number": "815-758-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 GATEWAY DR",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783192",
"telephone_number": "815-766-9841",
"fax_number": "815-758-5491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RACHEL",
"middle_name": "MICHELLE",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-30",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "STUDENT",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209028599",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209028599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.