Active NPI
Lori A. Johnson, FNP
- Nurse Practitioner
- Effingham, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-000472
- Practice address
- 1106 N Merchant St
Effingham, IL 62401-2128 - Phone
- (217) 342-7000
- Fax
- (217) 342-7002
- NPI assigned
- Oct 4, 2006
- Last updated
- Nov 22, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209-000472 | IL | Primary |
| Registered Nurse | 163W00000X | 041-245291 | IL |
Addresses
Primary practice location
1106 N Merchant St
Effingham, IL 62401-2128
Mailing address
1106 N Merchant St
P.O. Box 665
Effingham, IL 62401-2128
Phone (217) 342-7000
Other names 1
- Miss Lori A. Courson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lori.johnson@familycare.eclinicaldirectplus.com | Health Information Exchange (HIE) |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 N Merchant St
Effingham, IL 62401-2128
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-245291 | IL | MD | Registered Nurse |
| 209-000472 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients |
Locations
650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231
Interoperability endpoints
- lori.johnson@famcare.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Health Clinic/Center
- Effingham, IL
- NPI 1649255266
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
dba FCH Physician Billing
- Critical Access Hospital
- Vandalia, IL
- NPI 1912988734
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
dba St. Anthony's Memorial Hospitral
- Clinic/Center
- Effingham, IL
- NPI 1881214104
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1881789949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 N MERCHANT ST",
"address_2": "P.O. BOX 665",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012128",
"telephone_number": "217-342-7000",
"fax_number": "217-342-7002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 N MERCHANT ST",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624012128",
"telephone_number": "217-342-7000",
"fax_number": "217-342-7002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LORI",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-000472",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-245291",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lori.johnson@familycare.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Use this address for Lori Johnson FNP Family Care Associates",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1106 N Merchant St",
"city": "Effingham",
"state": "IL",
"country_code": "US",
"postal_code": "624012128",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LORI",
"last_name": "COURSON",
"middle_name": "A.",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Effingham, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.