Ellie Johnson

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

202 High St # 100
Tecumseh, NE 68450-2443

Phone

(402) 335-2811

Fax

(402) 335-2826

NPI assigned

May 14, 2024

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson County HospitalGroup PAC ID 4688583644, shared by 7 NPIs, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnson County Hospital Hospital, Tecumseh, NE, CCN 281350

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnsoncountyhospital@jchosp.cernerdirect.com

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.

• Johnson County Hospital

  • Critical Access Hospital
  • Tecumseh, NE
  • NPI 1285624825
  Medicare reassignment NPD
• Johnson County Hospital

  • Family Medicine Physician
  • Tecumseh, NE
  • NPI 1780895110
  Medicare reassignment NPD
• Johnson County Hospital

  • Ambulance
  • Tecumseh, NE
  • NPI 1487429106
  NPD
• Johnson County Hospital

  • Home Health Agency
  • Tecumseh, NE
  • NPI 1821001405
  NPD (past)

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

• Johnson County Hospital

  • Critical Access Hospital
  • Tecumseh, NE
  • NPI 1285624825
  Care Compare affiliation

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1467201426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HIGH ST # 100",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684502443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HIGH ST # 100",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684502443",
            "telephone_number": "402-335-2811",
            "fax_number": "402-335-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JohnsonCountyHospital@jchosp.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 High St # 100",
            "city": "Tecumseh",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684502443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Johnson County Hospital
• Johnson County Hospital
• Johnson County Hospital
• Johnson County Medical Center
• Johnson County Public Schools
• Mikayla Jones
• Nicholas B Kinkead
• Lisa Ann Kuhl, RN
• Debra Lairmore
• Mann & Mann Optometrists PC

• Physician Assistant in Tecumseh, NE
• Providers in Tecumseh, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.