Individual provider Active NPI

Erika Johnson, F.N.P.

  • Family Nurse Practitioner
  • Wauconda, IL
National Provider Identifier
1508216540
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014363 Issued in IL
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

Updated by the provider on Oct 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Family Medicine Specialists S.C.Group PAC ID 0042206252, 24 clinicians

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 Hospital, Waukegan, IL, CCN 140084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209014363ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Specialists, S.C. CurrentSince Sep 26, 2017 Accepting new patients
Family Medicine Specialists of Round Lake Incorporated S C CurrentSince Sep 26, 2017 Accepting new patients
Family Medicine Specialists of Mount Prospect S C CurrentSince Sep 26, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.