Mrs Aretha Diane Johnson, FNP in Peoria, IL - Medicare Nurse Practitioner

Mrs Aretha Diane Johnson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Peoria, Illinois. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Applebaum Physiatry Pllc and her current practice location is 2321 N Wisconsin Avenue, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 680-7600.

Mrs Aretha Diane Johnson is licensed to practice in Illinois (license number 209010440) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1457798332.

Contact Information

	Mrs Aretha Diane Johnson, FNP
	2321 N Wisconsin Avenue, Peoria, IL 61603
	(309) 680-7600
	(309) 680-7637

Map and Direction

Provider's Profile

Full Name	Mrs Aretha Diane Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	2321 N Wisconsin Avenue, Peoria, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Aretha Diane Johnson graduated from nursing school in 2012

NPI Data:

NPI Number: 1457798332
Provider Enumeration Date: 05/31/2013
Last Update Date: 01/23/2014

Medicare PECOS Information:

PECOS PAC ID: 0547490583
Enrollment ID: I20160906001167

Medical Identifiers

Medical identifiers for Mrs Aretha Diane Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457798332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209010440 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Applebaum Physiatry Pllc	8729453436	36

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. Mrs Aretha Diane Johnson allows following entities to bill medicare on her behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

Entity Name	Applebaum Physiatry Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700598059 PECOS PAC ID: 8729453436 Enrollment ID: O20230412000147

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. Mrs Aretha Diane 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 Address	Practice Location Address
Mrs Aretha Diane Johnson, FNP 1701 W Garden Street, Peoria, IL 61605 Ph: (309) 680-7600	Mrs Aretha Diane Johnson, FNP 2321 N Wisconsin Avenue, Peoria, IL 61603 Ph: (309) 680-7600

Reviews and Comments

Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537 Phone: 309-624-8818
Faye Yetton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2015 W Austin Dr, Peoria, IL 61614 Phone: 309-256-0632
Linda Schmidgall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603 Phone: 309-624-5100 Fax: 309-624-5569
Sandra L. Peach, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2343 Fax: 309-655-3948
Roxanne Mclaughlin, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3274
Suzanne D Tietjen, BSN, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2974
Brittany N Hemmele, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8600 N State Route 91, Peoria, IL 61615 Phone: 309-683-5050 Fax: 309-683-5335

Mrs Aretha Diane Johnson, FNP - Medicare Nurse Practitioner in Peoria, IL