Individual provider Active NPI

Megan M Johnson, NP

  • Family Nurse Practitioner
  • Belvidere, IL
National Provider Identifier
1760730576
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277004235 Issued in IL
Practice address
205 Cadillac CT Ste 6
Belvidere, IL 61008-1733
Phone
(815) 494-8459
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041266536 IL
Family Nurse Practitioner 363LF0000X 277004235 IL Primary

Addresses

Primary practice location

205 Cadillac CT Ste 6
Belvidere, IL 61008-1733

Mailing address

1976 Shaw Woods Dr
Rockford, IL 61107-1730

Other practice location 1

7210 E State St Ste 102
Rockford, IL 61108-2636
Phone (815) 362-4976

Other identifiers 1

IdentifierTypeStateIssuer
1760730576MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121228000338 IL Practitioner - Nurse Practitioner 3779736673 Reassigns benefits to 4 organizations
I20181003000588 WI Practitioner - Nurse Practitioner 3779736673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

205 Cadillac CT
Suite 6
Belvidere, IL 61008-1733
Phone (815) 494-8459

5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041266536ILMDRegistered Nurse
277004235ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legal NP Consulting LLC Family CurrentSince Jun 24, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jun 1, 2025 Accepting new patients
Midwest Medical Institute S.C. CurrentSince Feb 17, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Oct 30, 2019 Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients

Locations

205 Cadillac Ct
Ste 6
Belvidere, IL 61008
Phone (815) 494-2101

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1221 E State St
Rockford, IL 61104
Phone (815) 972-1000

7210 E State St
Ste 102
Rockford, IL 61108
Phone (815) 877-8567

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

Organizations & group practices 7

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 3

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1760730576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 SHAW WOODS DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CADILLAC CT STE 6",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610081733",
            "telephone_number": "815-494-8459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7210 E State St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611082636",
            "country_code": "US",
            "telephone_number": "815-362-4976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MEGAN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041266536",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277004235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760730576",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belvidere, IL

Sources for this page

Verify at the official NPI Registry.