NPIMap

Individual provider Active NPI

Scott Roger Johnson, M.D.

  • Family Medicine Physician
  • Aurora, NE
National Provider Identifier
1497761134
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19902 Issued in NE
Practice address
609 O St
Aurora, NE 68818-1100
Phone
(402) 694-3191
Fax
(402) 694-2146
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19902 NE Primary

Addresses

Primary practice location

609 O St
Aurora, NE 68818-1100

Mailing address

609 O St
Aurora, NE 68818-1100
Phone (402) 694-3191

Other identifiers 1

IdentifierTypeStateIssuer
31872OtherNEBCBS NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SCOTTJOHNSON@mchi.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817001628 NE Practitioner - Family Practice 1052445699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Community Health IncGroup PAC ID 1355394040, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

609 O St
Aurora, NE 68818-1104
Phone (402) 694-3191

Hospital & facility affiliations

  • Eventide Home Health Care Home health agency, Lincoln, NE, CCN 287002
  • Aseracare Hospice Hospice, York, NE, CCN 281544
  • Eventide Hospice Hospice, Lincoln, NE, CCN 281502
  • Memorial Hospital Hospital, Aurora, NE, CCN 281320
  • Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032
  • CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023
  • The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
  • Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139
  • Harvard Rest Haven Nursing home, Harvard, NE, CCN 285272
  • Memorial Hospital Nursing home, CCN 28Z320
  • Westfield Quality Care of Aurora Nursing home, Aurora, NE, CCN 285263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19902NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Community Health Inc CurrentSince Jul 1, 1997 Accepting new patients
Memorial Community Health, Inc CurrentSince Dec 22, 2025 Accepting new patients
Memorial Community Health, Inc Family Medicine CurrentSince Jul 1, 1997 Accepting new patients

Locations

609 O St
Aurora, NE 68818
Phone (402) 694-3191

1423 7th St
Aurora, NE 68818
Phone (402) 694-3171

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a4c7307b-5132-41db-ae59-8b3c5b480948/
  • Direct secure messaging: scottjohnson@mchi.cernerdirect.com

Organizations & group practices 3

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 12

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1497761134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 O ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688181100",
            "telephone_number": "402-694-3191",
            "fax_number": "402-694-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 O ST",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "688181100",
            "telephone_number": "402-694-3191",
            "fax_number": "402-694-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SCOTT",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "31872",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SCOTTJOHNSON@mchi.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Memorial Community Health Inc Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "609 O St",
            "city": "Aurora",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688181100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, NE

Sources for this page

Verify at the official NPI Registry.