Stacy L Johnson, NP in Fort Wayne, IN - Medicare Nurse Practitioner

Stacy L Johnson, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Wayne, Indiana. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Allied Physicians Inc and her current practice location is 2510 E Dupont Rd Ste 226, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 460-3100.

Stacy L Johnson is licensed to practice in Indiana (license number 71002173A) 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 1417907189.

Contact Information

	Stacy L Johnson, NP
	2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603
	(260) 460-3100
	Not Available

Map and Direction

Provider's Profile

Full Name	Stacy L Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	2510 E Dupont Rd Ste 226, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. 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 2006

NPI Data:

NPI Number: 1417907189
Provider Enumeration Date: 05/11/2006
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7719986140
Enrollment ID: I20061213000392

Medical Identifiers

Medical identifiers for Stacy L Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417907189	NPI	-	NPPES
200846660	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	28140959A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71002173A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lutheran Hospital Of Indiana	Fort wayne, IN	Hospital
Parkview Regional Medical Center	Fort wayne, IN	Hospital
Parkview Whitley Hospital	Columbia city, IN	Hospital
Dupont Hospital Llc	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allied Physicians Inc	5193625846	18

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 Name	Allied Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366433369 PECOS PAC ID: 5193625846 Enrollment ID: O20040422000314

Entity Name	Indiana University Health Fort Wayne Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316550445 PECOS PAC ID: 5193138527 Enrollment ID: O20210104001512

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 Address	Practice Location Address
Stacy L Johnson, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Stacy L Johnson, NP 2510 E Dupont Rd Ste 226, Fort Wayne, IN 46825-1603 Ph: (260) 460-3100

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Stacy L Johnson, NP - Medicare Nurse Practitioner in Fort Wayne, IN