Teresa Johnson, APRN - Medicare Nurse Practitioner in Carterville, IL

Teresa Johnson, APRN is a medicare enrolled "Nurse Practitioner" in Carterville, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shawnee Health Service And Development Corp, Select Physical Therapy Holdings Inc and her current practice location is 1006 S Division St, Carterville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9200.

Teresa Johnson is licensed to practice in Illinois (license number 209014846) 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 1639690191.

Contact Information

Teresa Johnson, APRN
1006 S Division St,
Carterville, IL 62918-1539
(618) 519-9200
(618) 985-3774

Map and Direction




Provider's Profile

Full NameTeresa Johnson
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1006 S Division St, Carterville, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Teresa Johnson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1639690191
  • Provider Enumeration Date: 07/05/2017
  • Last Update Date: 04/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0042557845
  • Enrollment ID: I20190201001502

Medical Identifiers

Medical identifiers for Teresa Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639690191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209014846 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital
Memorial Hospital Of CarbondaleCarbondale, ILHospital
St Joseph Memorial HospitalMurphysboro, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shawnee Health Service And Development Corp165828567138
Select Physical Therapy Holdings Inc95370764011487

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. Teresa Johnson allows following entities to bill medicare on her behalf.
Entity NameShawnee Health Service And Development Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639295314
PECOS PAC ID: 1658285671
Enrollment ID: O20031120000454
Entity NameSouthern Orthopedic Associates Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396792412
PECOS PAC ID: 8921095514
Enrollment ID: O20040427000442

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. Teresa 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
Teresa Johnson, APRN
109 California St, Po Box 577,
Carterville, IL 62918-0577

Ph: (161) 851-9920
Teresa Johnson, APRN
1006 S Division St,
Carterville, IL 62918-1539

Ph: (618) 519-9200

Reviews and Comments


Nurse Practitioner Nurses in Carterville, IL

Ms. Morgan A Gant, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 310 W Plaza Dr, Carterville, IL 62918
Phone: 618-985-4344    Fax: 618-985-6469
Mary K Chapman, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1400 Pin Oak Dr, Carterville, IL 62918
Phone: 618-985-3333    Fax: 618-985-1307
Cathy D Bless, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1006 S Division St, Carterville, IL 62918
Phone: 618-985-4841    Fax: 618-985-8101
Molly Price, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 310 W Plaza Dr, Carterville, IL 62918
Phone: 618-985-4344    Fax: 833-991-3991
Cassandra Vestal,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 108 N Division St, Carterville, IL 62918
Phone: 618-985-3929    Fax: 618-985-9276
Celena Lowes, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 900 Logan College Road, Carterville, IL 62918
Phone: 618-956-9202    Fax: 618-956-9205

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.