| Stacey Johnson, FNP/BC | |
|
4 E North St, Coal City, IL 60416-1087 | |
| (815) 518-5755 | |
| (815) 634-4097 |
| Full Name | Stacey Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 4 E North St, Coal City, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679978803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209012102 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Morris Hospital & Healthcare Centers | Morris, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Morris Hospital | 1850372459 | 104 |
| Entity Name | Morris Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649370057 PECOS PAC ID: 1850372459 Enrollment ID: O20040528000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Johnson, FNP/BC 725 School St Ste A, Morris, IL 60450-1207 Ph: (815) 941-9124 | Stacey Johnson, FNP/BC 4 E North St, Coal City, IL 60416-1087 Ph: (815) 518-5755 |
Mrs. Carollyn Pierard, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Coaler Dr, Coal City, IL 60416 Phone: 815-954-7221 Fax: 714-203-3539 | |
Mrs. Natalie A Palka, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5775 E State Route 113, Coal City, IL 60416 Phone: 815-634-0100 Fax: 815-634-2900 | |
Jena C Nowicki, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5775 E State Route 113, Coal City, IL 60416 Phone: 815-634-0100 Fax: 815-634-2900 | |
Saima Abdul Karim, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 E North St, Coal City, IL 60416 Phone: 815-634-4099 Fax: 815-634-4077 |