Individual provider Active NPI

Monica Y Johnson, WHNP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1922030865
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
108595 Issued in MO
Practice address
11155 Dunn Rd Ste 109N
Saint Louis, MO 63136-6148
Phone
(314) 653-5599
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 108295 MO
Nurse Practitioner 363L00000X 108595 MO Primary

Addresses

Primary practice location

11155 Dunn Rd Ste 109N
Saint Louis, MO 63136-6148

Mailing address

11125 Dunn Rd Ste 280
Saint Louis, MO 63136-6132
Phone (314) 286-2620

Other practice location 1

11125 Dunn Rd Ste 406
Saint Louis, MO 63136-6132
Phone (314) 286-2620

Other practice location 2

4901 Forest Park Ave Ste 341
Ste 341
Saint Louis, MO 63108-1453
Phone (314) 454-7882

Other practice location 3

11125 Dunn Rd Ste 280
Saint Louis, MO 63136-6132
Phone (314) 286-2620

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160510001060 MO Practitioner - Nurse Practitioner 3274822507 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians

Practice addresses (Care Compare)

1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195

11155 Dunn Rd
Suite 109N
Saint Louis, MO 63136-6148
Phone (314) 953-6968

2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108595MOMDNurse Practitioner
108295MOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC CurrentSince Oct 1, 2023 Accepting new patients
Washington University CurrentSince Apr 5, 2016 Accepting new patients
Mercy Clinic East Communities CurrentSince Jan 23, 2023 Accepting new patients
Mercy Clinic East Communities Nurse Practitioner Current Accepting new patients
Washington University Nurse Practitioner CurrentSince Apr 5, 2016 Accepting new patients
Physician Groups LC CurrentSince Oct 1, 2023 Accepting new patients

Locations

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784

11125 Dunn Rd
Ste 406
Saint Louis, MO 63136
Phone (314) 355-4010

660 S Euclid Ave
#C
Saint Louis, MO 63110

4901 Forest Park Ave
Ste 341
Saint Louis, MO 63108
Phone (314) 454-7882

11125 Dunn Rd
Ste 280
Saint Louis, MO 63136
Phone (314) 286-2620

660 S Euclid Ave
#8064
Saint Louis, MO 63110
Phone (314) 747-8274

1110 Highlands Plaza Dr E
Ste 280
Saint Louis, MO 63110
Phone (314) 273-0195

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1922030865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD STE 280",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-286-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DUNN RD STE 109N",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366148",
            "telephone_number": "314-653-5599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11125 Dunn Rd Ste 406",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631366132",
            "country_code": "US",
            "telephone_number": "314-286-2620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4901 Forest Park Ave Ste 341",
            "address_2": "Ste 341",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631081453",
            "country_code": "US",
            "telephone_number": "314-454-7882",
            "fax_number": "314-454-5167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11125 Dunn Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631366132",
            "country_code": "US",
            "telephone_number": "314-286-2620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MONICA",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "108295",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "108595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11125 Dunn Rd Ste 406",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.