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Active NPI 1063846467 Individual Practitioner Female Practitioner

Mika Lynn Johnson , APRN, CNP

Nurse Practitioner - Gerontology • Kewanee, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mika Johnson, APRN, CNP is a certified Nurse Practitioner - Gerontology practicing in Kewanee, IL. With approximately 13 years of clinical experience since graduating from Duke University School Of Medicine in 2013, Mika Johnson delivers high-quality medical care to the local community at 1051 W SOUTH ST.

Mika Johnson maintains professional affiliations with Osf Multi-Specialty Group, Total Care Solutions, Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1051 W South St

Kewanee, IL 614438354

Telephone 8154542811
Fax 8154542832
Associated Practice Facility / Clinic
🏢 Kewanee Hospital Facility NPI 1598797193

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Kewanee, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs Matches City Avg
City Avg: 13.0 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Kewanee, IL (294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (13 Years) 13 Yrs
Kewanee Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
98 97 $1323.06 $101.37
99285 Emergency department visit for life threatening or functioning severity
93 91 $1948.42 $146.87
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
40 40 $70.00 $6.64
99291 Critical care, first 30-74 minutes
33 31 $2139.42 $176.74
99283 Emergency department visit with low level of medical decision making
24 24 $695.50 $59.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
24 24 $580.75 $142.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
21 17 $338.00 $97.69
99497 Advance care planning, first 30 minutes
19 19 $352.53 $61.86
99239 Hospital discharge day management, more than 30 minutes
16 16 $324.00 $93.56

Medical Specialties & State Licenses

CMS Verified: 2024-08-23
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License IL 277001258

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209015838

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License IL 277001258

Definition to come...

Hospital & Practice Group Affiliations

Total Care Solutions, Sc

201 E Falcon Hwy, Flanagan, IL 617409108

Phone: 8157962267

Osf Multi-Specialty Group

1051 W S St, Kewanee, IL 614438354

Phone: 3098527500

Total Care Solutions, Sc

707 W Riverside Blvd, Rockford, IL 611032125

Phone: 8158775752

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Secondary Practice Locations

3333 W Deyoung St

Marion, IL 629595884

Phone: 6189987000

1401 E State St

Rockford, IL 611042315

Phone: 7796964400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Timothy Pratt , MD

Family Medicine

NPI 1073719357

Doctor of Medicine (M.D.)

NPI 1235343674

Doctor of Osteopathic Medicine (D.O.)

Rachel Gustafson

Nurse Practitioner - Family

NPI 1275099160
Sarah Cebula , LCSW

Social Worker - Clinical

NPI 1770031346

Licensed Clinical Social Worker

Sydney Lebahn-Franks , MSN, APRN FNP-BC

Nurse Practitioner - Family

NPI 1982492815

Master of Science in Nursing, APRNFNPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location August 23, 2024

Registered at 1051 W SOUTH ST, KEWANEE, IL 614438354 (Tel: 8154542811)

📍
Updated Business Mailing Address August 23, 2024

Registered at 1051 W SOUTH ST, KEWANEE, IL 614438354 (Tel: 8154542811)

👤
Provider Name / Credentials Updated August 23, 2024

Recorded as MIKA JOHNSON, APRN, CNP

📍
Updated Practice Location February 20, 2023

Registered at 3333 W DEYOUNG ST, MARION, IL 629595884 (Tel: 6189987000)

📍
Updated Business Mailing Address February 20, 2023

Registered at 23485 WIEGAND LN, WASHINGTON, IL 615719797 (Tel: 3369094907)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2023

Nurse Practitioner (License #209015838 in IL)

NPI Profile Active April 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 04, 2017

Registered at 221 NE GLEN OAK AVE, PEORIA, IL 616360001 (Tel: 3096725522)

📍
Updated Business Mailing Address April 04, 2017

Registered at 1900 PRIMROSE ST, PEKIN, IL 615549584 (Tel: 3369094907)

👤
Provider Name / Credentials Updated April 04, 2017

Recorded as MIKA JOHNSON, AGACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2017

Nurse Practitioner (License #209.015838 in IL)

NPI Profile Active April 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2014

Registered at 428 BILTMORE AVE, ASHEVILLE, NC 288014502 (Tel: 8282133400)

📍
Updated Business Mailing Address April 25, 2014

Registered at 1975 US HIGHWAY 158, MOCKSVILLE, NC 270284363 (Tel: 3369094907)

👤
Provider Name / Credentials Updated April 25, 2014

Recorded as MIKA JOHNSON, AGACNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2014

Nurse Practitioner (License #212079 in NC)

🟢
Initial NPI Registration & Enumeration August 21, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063846467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2013
Last Update: August 23, 2024
Sole Proprietor: No

Mailing Address

1051 W South St

Kewanee, IL 614438354

Phone: 8154542811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.