Kirsten Johanson, is a medicare enrolled "Nurse Practitioner - Family" in Durand, Illinois. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Monroe Clinic Inc, The Monroe Clinic Inc and her current practice location is
400 S Center St, Durand, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 248-3443.
Kirsten Johanson is licensed to practice in Illinois (license number 209008685) 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 1770882219.
Provider's Profile
| Full Name | Kirsten Johanson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 400 S Center St, Durand, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kirsten Johanson graduated from nursing school in 2010
NPI Data:
- NPI Number: 1770882219
- Provider Enumeration Date: 03/23/2011
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658559828
- Enrollment ID: I20110617000517
Medical Identifiers
Medical identifiers for Kirsten Johanson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770882219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 174239030 (Wisconsin) | Secondary |
| 163W00000X | Registered Nurse | 041390043 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209008685 (Illinois) | Secondary |
| 163W00000X | Registered Nurse | 324880 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | 4357 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4357033 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209008685 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Monroe Clinic Inc | 3072425495 | 155 |
| The Monroe Clinic Inc | 3072425495 | 155 |
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. Kirsten Johanson allows following entities to bill medicare on her behalf.
| Entity Name | The Monroe Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831254036
PECOS PAC ID: 3072425495
Enrollment ID: O20040112000130 |
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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. Kirsten Johanson 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 Address | Practice Location Address |
|---|
Kirsten Johanson,
400 S Center St,
Durand, IL 61024-9590
Ph: (815) 248-3443 | Kirsten Johanson,
400 S Center St,
Durand, IL 61024-9590
Ph: (815) 248-3443 |
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