ASHLEY MARIE JOHNSON (FNP) – Nurse Practitioner, NPI 1053834804

ASHLEY MARIE JOHNSON (FNP) is a healthcare provider. based in Beecher, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 28235015A (IN). The NPI Number for ASHLEY MARIE JOHNSON (FNP) is 1053834804

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY MARIE JOHNSON (FNP)
NPI
1053834804
Phone
Not provided
Address
314 MAPLE ST
Enumeration Date
24 July 2017
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2199211444
Graduation Year
2016 (10 years ago)
PAC ID
4385917145
Group Practice PAC ID
3173500519
Professional Enrollment ID
I20230213000462
Address ID
IN463049658CH601XXNXXX400

Contacts

Secure Messaging
ashley.johnson.1@15486.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

8,191 NURSE PRACTITIONER in IN

Provider Addresses for ASHLEY MARIE JOHNSON (FNP)

  • 314, Maple Street, Beecher, Will County, Illinois, 60401, United States

    BEECHER, IL 604013484

    Phone:

    Type: Mailing

  • 601 Gateway Blvd N

    Chesterton, IN 463049658

    Phone: (219) 921-1444

    Fax: (219) 921-5303

    Type: Location

  • 500 E 109TH AVE

    CROWN POINT, IN 463077294

    Phone: (219) 921-1444

    Fax: (219) 921-5303

    Type: Location

  • 2500, 175th Street, Bernice, Lansing, Thornton Township, Cook County, Illinois, 60438, United States

    LANSING, IL 604381801

    Phone: (708) 474-7330

    Type: Location

  • 601 GATEWAY BLVD N

    CHESTERTON, IN 463049658

    Phone: (219) 921-1444

    Fax: (219) 921-5303

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $133.

Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($109).

Total Amount

$133

General + Research + Ownership

Payments

2

Total payment records

General Amount

$133

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170830002618INurse PractitionerILTBD
I20230213000462INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173500519View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physician AssistantIN
Occupational Therapist In Private PracticeIL
Orthopedic SurgeryIN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIN
-IN
Physical Therapist In Private PracticeIN
Occupational Therapist In Private PracticeWI
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is ASHLEY MARIE JOHNSON (FNP)'s NPI number?
ASHLEY MARIE JOHNSON (FNP)'s NPI is 1053834804 — the number used across U.S. healthcare to identify this provider.
Would ASHLEY MARIE JOHNSON (FNP) appear as active to a payer?
You can treat ASHLEY MARIE JOHNSON (FNP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ASHLEY MARIE JOHNSON (FNP)?
ASHLEY MARIE JOHNSON (FNP)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Illinois is ASHLEY MARIE JOHNSON (FNP) registered?
Use Beecher, Illinois as the headline location for ASHLEY MARIE JOHNSON (FNP) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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