Nicole R. Johnson, APN
NPI 1275041097ActiveIndividual· Nurse Practitioner, Family· Springfield, IL
Nurse Practitioner, Family (APN) with Memorial Physician Services, practicing in Springfield, Illinois. Their prescriptions cost Medicare Part D more than their services did: $10,299 for 138 claims, against $3,011 paid for services in 2024. Lists Memorial Medical Center as a hospital affiliation.
Overview
| NPI | 1275041097 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APN |
| Sole proprietor | No |
| NPI issued | Jan 15, 2018 |
| Last updated in NPPES | Sep 13, 2024 |
| Certified by provider | Sep 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209017282 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 61 across 13 procedure codes |
| Paid by Medicare | $3,011 |
Part D prescriptions in 2024
| Prescriptions (claims) | 138 · 196 30-day fills |
|---|---|
| Patients | 62 |
| Total drug cost | $10,299 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Memorial Physician ServicesChatham, IL · 165 clinicians
Hospital affiliation
- Memorial Medical CenterSpringfield, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Springfield
- 1205764453
- 1508832890
- 1063961936
- 1356290654
- 1134791270
- 1770984718
- 1679884944
- 1275203051
- 1154931400
- 1588115497
- 1487360178
- 1073963120