Nancy Moe Johnson, PA
NPI 1417262528ActiveIndividual· Physician Assistant, Medical· Beloit, WI
Physician Assistant, Medical (PA) with Mercy Health System Corporation, practicing in Beloit, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $4,817 for 397 claims, against $970.52 paid for services in 2024. Lists Mercy Health System Corp and 1 other hospital as hospital affiliations.
Overview
| NPI | 1417262528 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Aug 12, 2010 |
| Last updated in NPPES | Nov 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 2640-33 | WI |
| Physician Assistant, Medical | 363AM0700X | 3203 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 20 |
|---|---|
| Services billed | 25 across 7 procedure codes |
| Paid by Medicare | $970.52 |
Part D prescriptions in 2024
| Prescriptions (claims) | 397 · 399 30-day fills |
|---|---|
| Patients | 306 |
| Total drug cost | $4,817 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mercy Health System CorporationJanesville, WI · 753 clinicians
Hospital affiliations
- Mercy Health System CorpJanesville, WI
- Mercy Walworth Hospital & Medical CenterLake Geneva, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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