Stacy L Johnson is a Fort Wayne, Indiana based nurse practitioner with 19 years of experience in . She completed her graduation in 2006. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Stacy L Johnson is 71002173A for Family in Indiana. Her current practice location is 2510 E Dupont Rd Ste 226, Fort Wayne. Patients can reach her at 260-460-3100. Stacy L Johnson is NP and her NPI number (Unique professional ID assigned by NPPES) is 1417907189. Stacy L Johnson has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Stacy L Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Stacy L Johnson
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
19+ years
Medical School Attended:
Other
Graduation Year:
2006
Accepts Medicare Assignment:
Yes
Practice Address:
2510 E Dupont Rd Ste 226, Fort Wayne, Indiana, 46825-1603
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7719986140
Enrollment ID:
I20061213000392
NPI Number:
1417907189
NPI Enumeration Date:
11 May, 2006
NPI Last Update On:
20 Nov, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacy L Johnson are as mentioned below.
License Number
Specialization
State
Status
71002173A
Family
Indiana
Primary
28140959A
Nurse Practitioner
Indiana
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(150017)
Fort wayne, IN
Acute Care Hospital
(150021)
Fort wayne, IN
Acute Care Hospital
(150150)
Fort wayne, IN
Acute Care Hospital
(150011)
Marion, IN
Acute Care Hospital
(361301)
Hicksville, OH
Critical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Stacy L Johnson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Allied Physicians Inc (5193625846)
24
Other Medical Identifiers:
Other legacy medical identifiers associated with Stacy L Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200846660
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Stacy L Johnson 250 N Shadeland Ave, Indianapolis, Indiana
Zip:
46219-4959
Patients can reach Stacy L Johnson at 2510 E Dupont Rd Ste 226, Fort Wayne, Indiana or can call to book an appointment on 260-460-3100.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.