Andrea Marie Johnson, PMHNP - Medicare Nurse Practitioner in Centralia, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Centralia
Andrea Marie Johnson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Centralia, Illinois. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physician Services Corporation Of Southern Illinois Inc and her current practice location is 444 N Pleasant Ave, Centralia, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 436-5665.

Andrea Marie Johnson is licensed to practice in Illinois (license number 209.023676) 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 1316610256.

Contact Information

Andrea Marie Johnson, PMHNP
444 N Pleasant Ave,
Centralia, IL 62801-3006
(618) 436-5665
(618) 436-8042

Map and Direction




Provider's Profile

Full NameAndrea Marie Johnson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location444 N Pleasant Ave, Centralia, 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:
  • Andrea Marie Johnson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1316610256
  • Provider Enumeration Date: 07/27/2021
  • Last Update Date: 07/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1153726872
  • Enrollment ID: I20210818003310

Medical Identifiers

Medical identifiers for Andrea Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316610256NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209.023676 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Ssm Health St Mary's Hospital -centraliaCentralia, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physician Services Corporation Of Southern Illinois Inc9234022567100

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. Andrea Marie Johnson allows following entities to bill medicare on her behalf.
Entity NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583

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. Andrea Marie 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
Andrea Marie Johnson, PMHNP
1603 Ruth Ann Dr,
Centralia, IL 62801-5913

Ph: (618) 214-1178		Andrea Marie Johnson, PMHNP
444 N Pleasant Ave,
Centralia, IL 62801-3006

Ph: (618) 436-5665

Reviews and Comments


Nurse Practitioner Nurses in Centralia, IL

Mr. Dale D Pearce, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1535 W Mccord St, Centralia, IL 62801
Phone: 618-533-1811    
Alexis Wernsman, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1052 Ml King Drive, Suite 2, Centralia, IL 62801
Phone: 618-436-5410    Fax: 618-436-8063
Mrs. Amber Lynn Wennerstrom, DNP, PMHNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 444 N Pleasant Ave, Centralia, IL 62801
Phone: 618-436-5665    
Ms. Jessica Lynn Chapman,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1535 W Mccord St, Centralia, IL 62801
Phone: 618-532-1811    
Stacy D Menees, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 432 N Pleasant Ave, Centralia, IL 62801
Phone: 618-436-8300    
Janet Rose Merrell, MSN, APN, CNS, BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 904 M L King Dr, Centralia, IL 62801
Phone: 618-533-1391    Fax: 618-533-0012

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.