Jill M Johnson, - Medicare Nurse Practitioner in Summersville, WV

Jill M Johnson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Summersville, West Virginia. Her current practice location is 415 Main St, Summersville, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 872-1663.

Jill M Johnson is licensed to practice in West Virginia (license number PMHNP71327WV) 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 1821507492.

Contact Information

Jill M Johnson,
415 Main St,
Summersville, WV 26651-1343
(304) 872-1663
Not Available

Map and Direction




Provider's Profile

Full NameJill M Johnson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location415 Main St, Summersville, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821507492
  • Provider Enumeration Date: 09/26/2017
  • Last Update Date: 03/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2668739525
  • Enrollment ID: I20171130002134

Medical Identifiers

Medical identifiers for Jill M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821507492NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health PMHNP71327WV (West Virginia)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. Jill M Johnson allows following entities to bill medicare on her behalf.
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427585157
PECOS PAC ID: 6002867850
Enrollment ID: O20171010003869
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700312618
PECOS PAC ID: 6002867850
Enrollment ID: O20180413002227
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508372228
PECOS PAC ID: 6002867850
Enrollment ID: O20190208001062
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669947222
PECOS PAC ID: 6002867850
Enrollment ID: O20200423002284
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801493499
PECOS PAC ID: 6002867850
Enrollment ID: O20230629001639
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053018887
PECOS PAC ID: 6002867850
Enrollment ID: O20230815003861
Entity NameCamden On Gauley Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316644149
PECOS PAC ID: 6002867850
Enrollment ID: O20231229000487

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. Jill M 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
Jill M Johnson,
415 Main St,
Summersville, WV 26651-1343

Ph: (304) 872-1663
Jill M Johnson,
415 Main St,
Summersville, WV 26651-1343

Ph: (304) 872-1663

Reviews and Comments


Nurse Practitioner Nurses in Summersville, WV

Donna H Moore, NP-C
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Practice Location: 211 Merchants Walk, Summersville, WV 26651
Phone: 304-872-9455    
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Mrs. Beth Marie Hudspeth, FNP-C
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Practice Location: 415 Main St, Summersville, WV 26651
Phone: 304-872-1663    Fax: 304-226-3274
Amy Mann,
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Sara Sanson, PMHNP
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Medicare: Medicare Enrolled
Practice Location: 415 Main St, Summersville, WV 26651
Phone: 304-226-5725    Fax: 304-226-3274
Angela Richmond, APRN-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 830 Northside Dr Ste 107, Summersville, WV 26651
Phone: 681-207-7105    

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.