Johnnie Dominica Johnson, FNP in South Holland, IL

Johnnie Dominica Johnson, FNP is a medicare enrolled "Nurse Practitioner - Family" in South Holland, Illinois. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Advocate Health And Hospitals Corporation and her current practice location is 100 W 162nd St, South Holland, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 730-2200.

Johnnie Dominica Johnson is licensed to practice in Illinois (license number 277-001345) 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 1043601057.

Contact Information

	Johnnie Dominica Johnson, FNP
	100 W 162nd St, South Holland, IL 60473-2003
	(708) 730-2200
	Not Available

Map and Direction

Provider's Profile

Full Name	Johnnie Dominica Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	100 W 162nd St, South Holland, 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:

Johnnie Dominica Johnson graduated from nursing school in 2014

NPI Data:

NPI Number: 1043601057
Provider Enumeration Date: 02/12/2015
Last Update Date: 03/11/2025

Medicare PECOS Information:

PECOS PAC ID: 9133445125
Enrollment ID: I20150310002297

Medical Identifiers

Medical identifiers for Johnnie Dominica Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043601057	NPI	-	NPPES
277001345	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	277001345 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209012407 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	277-001345 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advocate Health And Hospitals Corporation	7810800935	2682

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. Johnnie Dominica Johnson allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

Entity Name	Best Practices Inpatient Care, Ltd.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619913522 PECOS PAC ID: 5799687372 Enrollment ID: O20040123000525

Entity Name	Illinois Urgent Care Professionals Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215407812 PECOS PAC ID: 9830437946 Enrollment ID: O20190215001059

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. Johnnie Dominica 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
Johnnie Dominica Johnson, FNP 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900	Johnnie Dominica Johnson, FNP 100 W 162nd St, South Holland, IL 60473-2003 Ph: (708) 730-2200

Reviews and Comments

Nurse Practitioner Nurses in South Holland, IL

Mrs. Kenisha Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16266 Prince Dr, South Holland, IL 60473 Phone: 708-222-7333 Fax: 708-221-0501
Sandra Karim, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16003 Louis Ave, South Holland, IL 60473 Phone: 312-218-5220
Terri Lynn Mayberry, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2145 E 170th St, South Holland, IL 60473 Phone: 708-895-3255
Mrs. Jennifer Norris Rosas, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15821 S Park Ave, South Holland, IL 60473 Phone: 708-225-0200 Fax: 708-225-0202
Ms. Rebecca Cummings, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200
Julia Ifeoma Egbuna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16949 Parkside Ave, South Holland, IL 60473 Phone: 708-441-9532

Johnnie Dominica Johnson, FNP - Medicare Nurse Practitioner in South Holland, IL