Stacy L Johnson, FNP-C - Medicare Nurse Practitioner in Saint Peters, MO

Stacy L Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Peters, Missouri. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Psychological And Behavioral Consultants Llc and her current practice location is 255 Spencer Rd Ste 201, Saint Peters, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 939-2550.

Stacy L Johnson is licensed to practice in Missouri (license number 2020034563) 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 1174002232.

Contact Information

Stacy L Johnson, FNP-C
255 Spencer Rd Ste 201,
Saint Peters, MO 63376-2576
(636) 939-2550
Not Available

Map and Direction




Provider's Profile

Full NameStacy L Johnson
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location255 Spencer Rd Ste 201, Saint Peters, Missouri
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:
  • Stacy L Johnson graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1174002232
  • Provider Enumeration Date: 08/09/2018
  • Last Update Date: 07/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991057671
  • Enrollment ID: I20181008001380

Medical Identifiers

Medical identifiers for Stacy L Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174002232NPI-NPPES
420064105MedicaidMO
363LP0808XOtherTAXONOMY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2018018396 (Missouri)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2020034563 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Psychological And Behavioral Consultants Llc0446243760335

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. Stacy L Johnson allows following entities to bill medicare on her behalf.
Entity NameProvident Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710023791
PECOS PAC ID: 0345217279
Enrollment ID: O20050407000335
Entity NamePsychological & Behavioral Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811915713
PECOS PAC ID: 0446243760
Enrollment ID: O20181204002777

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. Stacy L 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
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

Reviews and Comments


Nurse Practitioner Nurses in Saint Peters, MO

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

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.