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Kelly Marie Johnson, FNP-C

NPI 1083196554ActiveIndividual· Nurse Practitioner, Family· Northbrook, IL

Opted out of Medicare from April 2024 to April 2028. Nurse Practitioner, Family (FNP-C) in Northbrook, Illinois, licensed in IL, with an NPI issued in August 2018. Biogen, Inc. was the largest of 6 companies reporting payments in 2025, $173.23 in all, mostly food and beverage.

Overview

NPI1083196554
StatusActive
Entity typeIndividual
CredentialFNP-C
Sole proprietorYes
NPI issuedAug 31, 2018
Last updated in NPPESFeb 22, 2024
Certified by providerFeb 22, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X209.017943IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Apr 17, 2024 – Apr 17, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$173.23 · 8 payments from 6 companies
  • 2024$216.57 · 6 payments from 3 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$173.23 · 8 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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