Nisa Johnson, - Medicare Clinical Social Worker in Normal, IL

Nisa Johnson, is a medicare enrolled "Social Worker - Clinical" provider in Normal, Illinois. Her current practice location is 1100 Beech St Bldg 10-1, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 750-0415.

Nisa Johnson is licensed to practice in Illinois (license number 149017179) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255716205.

Contact Information

Nisa Johnson,
1100 Beech St Bldg 10-1,
Normal, IL 61761-1568
(309) 750-0415
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNisa Johnson
GenderFemale
SpecialitySocial Worker - Clinical
Location1100 Beech St Bldg 10-1, Normal, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255716205
  • Provider Enumeration Date: 07/20/2015
  • Last Update Date: 10/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537475298
  • Enrollment ID: I20150826002294

Medical Identifiers

Medical identifiers for Nisa Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255716205NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149017179 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nisa Johnson allows following entities to bill medicare on her behalf.
Entity NameNisa Johnson Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295469559
PECOS PAC ID: 5890163083
Enrollment ID: O20221118001778

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nisa Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nisa Johnson,
1100 Beech St Bldg 10-1,
Normal, IL 61761-1568

Ph: (309) 750-0415
Nisa Johnson,
1100 Beech St Bldg 10-1,
Normal, IL 61761-1568

Ph: (309) 750-0415

Reviews and Comments


Social Worker in Normal, IL

Laurie Krolikowski, LCSW
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Medicare: Accepting Medicare Assignments
Practice Location: 1306 Stephens Dr, Normal, IL 61761
Phone: 309-532-4572    
Mary Ann Pullin, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 612 Oglesby Ave, Normal, IL 61761
Phone: 309-557-1124    Fax: 309-454-9257
Ms. Naomi Wilansky, MSS LCSW BCD
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Beech St, Bldg 10, Normal, IL 61761
Phone: 309-825-8818    Fax: 309-452-1265
Cheri Carroll, L.C.S.W.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 405 Kays Dr Ste C, Normal, IL 61761
Phone: 309-664-3130    Fax: 309-664-3528
Laura Jennings-mitchell, LCSW
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Practice Location: 705 E Lincoln St, Ste 303, Normal, IL 61761
Phone: 309-451-9495    
Teresa Eubanks, LCSW
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Medicare: Medicare Enrolled
Practice Location: 1304 Franklin Ave, Normal, IL 61761
Phone: 309-268-5334    
Sarah E Walters, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 2958 Benson Ln, Normal, IL 61761
Phone: 815-243-0177    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.