Stacy L Johnson, FNP-C | |
255 Spencer Rd Ste 201, Saint Peters, MO 63376-2576 | |
(636) 939-2550 | |
Not Available |
Full Name | Stacy L Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 255 Spencer Rd Ste 201, Saint Peters, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174002232 | NPI | - | NPPES |
420064105 | Medicaid | MO | |
363LP0808X | Other | TAXONOMY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2018018396 (Missouri) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2020034563 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Psychological And Behavioral Consultants Llc | 0446243760 | 335 |
Entity Name | Provident Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710023791 PECOS PAC ID: 0345217279 Enrollment ID: O20050407000335 |
Entity Name | Psychological & Behavioral Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20181204002777 |
Mailing Address | Practice Location Address |
---|---|
Stacy L Johnson, FNP-C 751 Jonathan Cody Dr, Wentzville, MO 63385-6877 Ph: (314) 608-5726 | Stacy L Johnson, FNP-C 255 Spencer Rd Ste 201, Saint Peters, MO 63376-2576 Ph: (636) 939-2550 |
Carol Berger, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Attention Medical Staff Office, 10 Hospital Drive, Saint Peters, MO 63376 Phone: 314-317-0600 | |
Michelle L. Maloney, RN BC-ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital Dr, Ste 100, Saint Peters, MO 63376 Phone: 636-916-7272 Fax: 636-916-7274 | |
Mrs. Chelsey Jo Becker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Mid Rivers Mall Dr, Saint Peters, MO 63376 Phone: 866-389-2727 | |
Mrs. Laura Ann Benack, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Entrance Way, Saint Peters, MO 63376 Phone: 636-916-9920 Fax: 636-916-9176 | |
Elizabeth Gordon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4800 Mexico Rd, Suite 102, Saint Peters, MO 63376 Phone: 636-441-0067 Fax: 636-441-1062 | |
Victoria J Vondrak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5650 Mexico Rd Ste 2, Saint Peters, MO 63376 Phone: 636-875-1270 Fax: 636-875-1278 | |
Ms. Jennifer Louise Keen, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Jungermann Cir, Suite 209, Saint Peters, MO 63376 Phone: 636-916-9080 Fax: 636-916-9332 |