RACHAEL O JOHNSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1306317383

RACHAEL O JOHNSON (PMHNP-BC) is a healthcare provider. based in Carterville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 209018485 (IL). The NPI Number for RACHAEL O JOHNSON (PMHNP-BC) is 1306317383

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
RACHAEL O JOHNSON (PMHNP-BC)
NPI
1306317383
Phone
(618) 985-8221
Address
109 CALIFORNIA ST
Enumeration Date
17 December 2018
Last Update Date
19 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185199200
Graduation Year
2018 (8 years ago)
PAC ID
5395084073
Group Practice PAC ID
1658285671
Professional Enrollment ID
I20190223000049
Address ID
IL629013547CA404XXLNXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for RACHAEL O JOHNSON (PMHNP-BC)

  • 109, California Street, Carterville, Williamson County, Illinois, 62918, United States

    PO BOX 577

    CARTERVILLE, IL 629180577

    Phone: (618) 985-8221

    Fax: (618) 985-4635

    Type: Mailing

  • 404, South Lewis Lane, Carbondale, Jackson County, Illinois, 62901, United States

    CARBONDALE, IL 62901

    Phone: (618) 519-9200

    Fax: (618) 549-1288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 150 Open Payments records for all available years, with a total value of $2,692.

Total Amount is formed as General ($2,692) + Research ($0) + Ownership ($0) = $2,692.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($335).

Total Amount

$2,692

General + Research + Ownership

Payments

150

Total payment records

General Amount

$2,692

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2019-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20190223000049INurse PractitionerILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96127Assessment of emotional or behavioral problems8161$0
View full utilization report →

Insurance plans in this area (ZIP 62918)

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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: 1658285671View full group profile
NameSpecialtyState
Certified Nurse Midwife (Cnm)IL
-IL
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
Mental Health CounselorIL
Internal MedicineNJ
Physician AssistantIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I cross-check RACHAEL O JOHNSON (PMHNP-BC) using NPI 1306317383?
NPI 1306317383 belongs to RACHAEL O JOHNSON (PMHNP-BC); compare other details if you need extra assurance.
Would RACHAEL O JOHNSON (PMHNP-BC) appear as active to a payer?
You can treat RACHAEL O JOHNSON (PMHNP-BC) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to RACHAEL O JOHNSON (PMHNP-BC)?
RACHAEL O JOHNSON (PMHNP-BC)'s specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with RACHAEL O JOHNSON (PMHNP-BC)?
Directory geography for RACHAEL O JOHNSON (PMHNP-BC) centers on Carterville, Illinois.
When was this NPI issued?
Enumeration for RACHAEL O JOHNSON (PMHNP-BC) is noted as December 17, 2018 where the registry provides it.

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