MS. MARY CHRISTINE JOHANSEN (APRN, CNP) – Nurse Practitioner, NPI 1689208928
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MS. MARY CHRISTINE JOHANSEN (APRN, CNP)
1340 RYAN PKWY
DEERFIELD, IL 600153609
Phone: (815) 477-7350
Type: Mailing
964 INVERRARY LN
DEERFIELD, IL 600153609
Phone: (847) 707-2081
Type: Mailing
3880 SALEM LAKE DR STE F
LONG GROVE, IL 600475292
Phone: (847) 719-2220
Fax: (847) 719-2265
Type: Mailing
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 600508437
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2023-06-08 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($75).
Total Amount
$75
General + Research + Ownership
Payments
1
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $75 |
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: 2020-10-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201026003008 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 39 | 16 | $0 |
Insurance plans in this area (ZIP 60015)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| G A S T R O E N T E R O L O G Y | IL | |
| Anesthesiology, Pain Management | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| Internal Medicine | IL | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal Medicine | MN | |
| - | IL | |
| A N E S T H E S I O L O G Y | MI |
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