Mr Derick Johnson, APRN - Medicare Nurse Practitioner in Chicago, IL

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Mr Derick Johnson, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chicago, Illinois. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Heartland Alliance Health and his current practice location is 8543 S Stony Island Ave Ste 3, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 380-9808.

Mr Derick Johnson is licensed to practice in Illinois (license number 209.022844) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1154903920.

Contact Information

Mr Derick Johnson, APRN
8543 S Stony Island Ave Ste 3,
Chicago, IL 60617-2249
(312) 380-9808
Not Available

Map and Direction




Provider's Profile

Full NameMr Derick Johnson
GenderMale
SpecialityNurse Practitioner
Experience6 Years
Location8543 S Stony Island Ave Ste 3, Chicago, Illinois
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Derick Johnson graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1154903920
  • Provider Enumeration Date: 04/22/2021
  • Last Update Date: 05/05/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8527469030
  • Enrollment ID: I20210622000906

Medical Identifiers

Medical identifiers for Mr Derick Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154903920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 286201 (Montana)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 209.022844 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Heartland Alliance Health589069668614

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. Mr Derick Johnson allows following entities to bill medicare on his behalf.
Entity NameChristian Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790888238
PECOS PAC ID: 4284533183
Enrollment ID: O20040108000515
Entity NameOswego Wellness Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912373069
PECOS PAC ID: 3274899844
Enrollment ID: O20171115000213
Entity NameResilient Mental Health & Wellness PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073312351
PECOS PAC ID: 7810401619
Enrollment ID: O20250703002502
Entity NameTP Health TX PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518544527
PECOS PAC ID: 3577061357
Enrollment ID: O20250811002873

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. Mr Derick 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
Mr Derick Johnson, APRN
11713 S Maplewood Ave,
Chicago, IL 60655-1524

Ph: (312) 380-9808		Mr Derick Johnson, APRN
8543 S Stony Island Ave Ste 3,
Chicago, IL 60617-2249

Ph: (312) 380-9808

Reviews and Comments


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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.