Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770696890 Individual Practitioner Female Practitioner

Stacie L Johnson , PA-C

Physician Assistant • Mchenry, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacie Johnson, PA-C is a certified Physician Assistant practicing in Mchenry, IL. With approximately 24 years of clinical experience since completing medical education in 2002, Stacie Johnson delivers high-quality medical care to the local community at 4201 W MEDICAL CENTER DR.

Stacie Johnson is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4201 W Medical Center Dr

Mchenry, IL 600508409

Telephone 8157593100
Fax 8153639094
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mchenry, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +10.6 yrs vs City Avg
City Avg: 13.4 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
27 Specialists

Practicing in Mchenry, IL (4958 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (24 Years) 24 Yrs
Mchenry Specialty Average (13.4 Years) 13.4 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
99285 Emergency department visit for life threatening or functioning severity
120 120 $539.00 $151.44
99284 Emergency department visit with moderate level of medical decision making
81 79 $365.00 $104.40
99283 Emergency department visit with low level of medical decision making
11 11 $231.00 $61.33

Medical Specialties & State Licenses

CMS Verified: 2021-05-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085002273

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

10400 Haligus Rd, Huntley, IL 601429553

Northwestern Medical Faculty Foundation

4309 W Medical Ctr Dr, Mchenry, IL 600508437

Phone: 8157598070

Northwestern Medical Faculty Foundation

515 Valley View Dr, Moline, IL 612656175

Phone: 3126950870

Secondary Practice Locations

4201 W Medical Center Dr

Mchenry, IL 600508409

Phone: 8157593100

Practice Associates & Co-Workers

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

28 Associated Practitioners
Dr. Katherine Savage , MD

Emergency Medicine

NPI 1104211804

Doctor of Medicine (M.D.)

Dr. John Pacini , DO

Emergency Medicine

NPI 1134232309

Doctor of Osteopathic Medicine (D.O.)

Dr. Sitaramarao Bobba , MD

Emergency Medicine

NPI 1194738302

Doctor of Medicine (M.D.)

Dr. Luciano Orta , MD

Emergency Medicine

NPI 1346353505

Doctor of Medicine (M.D.)

Dr. Ray Urban , MD

Emergency Medicine

NPI 1356978431

Doctor of Medicine (M.D.)

Jonathan Haririe , PA-C

Physician Assistant

NPI 1386741163

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location May 05, 2021

Registered at 4201 W MEDICAL CENTER DR, MCHENRY, IL 600508409 (Tel: 8157593100)

📍
Updated Business Mailing Address May 05, 2021

Registered at 4201 W MEDICAL CENTER DR, MCHENRY, IL 600508409 (Tel: 8157593100)

NPI Profile Active August 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2017

Registered at 4309 W MEDICAL CENTER DR, MCHENRY, IL 600508419 (Tel: 8153386600)

📍
Updated Business Mailing Address August 01, 2017

Registered at 4309 W MEDICAL CENTER DR, MCHENRY, IL 600508419

👤
Provider Name / Credentials Updated August 01, 2017

Recorded as STACIE JOHNSON, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2017

Physician Assistant (License #085002273 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4201 W MEDICAL CENTER DR, MCHENRY, IL 600508409 (Tel: 8157593100)

📍
Updated Business Mailing Address July 08, 2007

Registered at 241 PENNY LN, LAKE GENEVA, WI 531472467

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACIE JOHNSON, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #085002273 in IL)

🟢
Initial NPI Registration & Enumeration August 15, 2006

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: 1770696890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2006
Last Update: May 05, 2021
Sole Proprietor: No

Mailing Address

4201 W Medical Center Dr

Mchenry, IL 600508409

Phone: 8157593100

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.