Active NPI
Erika Johnson, F.N.P.
- Family Nurse Practitioner
- Wauconda, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209014363
- Practice address
- 431 W Liberty St
Wauconda, IL 60084-2452 - Phone
- (847) 526-2151
- Fax
- (847) 526-2017
- NPI assigned
- Jun 21, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209014363 | IL | Primary |
Addresses
Primary practice location
431 W Liberty St
Wauconda, IL 60084-2452
Mailing address
373 Briarwood CT
Gurnee, IL 60031-3461
Phone (224) 627-8174
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171113003605 | IL | Practitioner - Nurse Practitioner | 9335405018 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2680 N Il Route 83
Round Lake Beach, IL 60073-4983
Phone (224) 372-7780
431 W Liberty St
Wauconda, IL 60084-2452
Phone (847) 526-2151
Hospital & facility affiliations
- Vista Medical Center East
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209014363 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Specialists, S.C. | Current | Accepting new patients | |
| Family Medicine Specialists of Round Lake Incorporated S C | Current | Accepting new patients | |
| Family Medicine Specialists of Mount Prospect S C | Current | Accepting new patients |
Locations
425 Lake St
Antioch, IL 60002
Phone (244) 538-9736
3801 Running Brook Farm Blvd
McHenry, IL 60051
Phone (815) 344-7741
2253 N Richmond Rd
McHenry, IL 60051
Phone (847) 526-2151
9700 N Main St
Richmond, IL 60071
Phone (815) 678-4181
2680 State Route 83
Round Lake Beach, IL 60073
Phone (224) 372-7780
604 W Liberty St
Wauconda, IL 60084
Phone (847) 526-2151
431 W Liberty St
Wauconda, IL 60084
Phone (847) 526-2151
909 Belvidere Rd
Waukegan, IL 60085
Phone (847) 244-4995
4000 Il Route 173
Zion, IL 60099
Phone (847) 731-8172
Interoperability endpoints
- erika.johnson@fms.eclinicaldirectplus.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.
-
- Family Medicine Physician
- Round Lake Beach, IL
- NPI 1740515253
IL
-
- Family Medicine Physician
- Mt Prospect, IL
- NPI 1437389475
IL
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukegan, IL
- NPI 1639120694
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1508216540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "373 BRIARWOOD CT",
"city": "GURNEE",
"state": "IL",
"postal_code": "600313461",
"telephone_number": "224-627-8174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 W LIBERTY ST",
"city": "WAUCONDA",
"state": "IL",
"postal_code": "600842452",
"telephone_number": "847-526-2151",
"fax_number": "847-526-2017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ERIKA",
"name_prefix": "Ms.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209014363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauconda, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.