Nicole Johnson, PA-C
NPI 1033250576 · Physician Assistant · Carbondale, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Johnson, PA-C is a Physician Assistant provider in Carbondale, IL (NPI 1033250576).
Provider details
- NPI number
- 1033250576
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036-087287 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 201 S 14th StHerrin, IL 62948-3631Phone: (618) 942-2171
- 8305 Express DriveSuite CMarion, IL 62959Phone: (618) 993-0086Fax: (618) 993-0088
- 2 S Hospital DrMurphysboro, IL 62966-3333Phone: (618) 684-3156
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2021-11-09
- Certified
- 2021-11-09
Frequently asked questions
- What is Nicole Johnson's NPI number?
- Nicole Johnson's National Provider Identifier (NPI) is 1033250576, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Johnson's specialty?
- Nicole Johnson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Johnson located?
- Nicole Johnson's practice location on file with NPPES is 405 W Jackson St, Carbondale, IL 62901-1462.
- What is Nicole Johnson's phone number?
- The practice phone number listed in the NPPES registry for Nicole Johnson is (618) 549-0721.
- Does Nicole Johnson accept Medicare?
- Nicole Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Johnson's NPI active?
- Yes — Nicole Johnson's NPI (1033250576) is active in the NPPES registry as of the last update on 2021-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.