Stacy Johnson, R.N.
NPI 1083967616 · Adult Health Nurse Practitioner · Rochester, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacy Johnson, R.N. is a Adult Health Nurse Practitioner provider in Rochester, NY (NPI 1083967616).
Provider details
- NPI number
- 1083967616
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- No
- License
- 309651 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 69 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sertraline Hcl | 167 | 20 |
| Atorvastatin Calcium | 132 | 32 |
| Levothyroxine Sodium | 129 | 26 |
| Quetiapine Fumarate | 113 | 22 |
| Gabapentin | 86 | 15 |
| Apixabanbrand: Eliquis | 86 | 21 |
| Trazodone Hcl |
Practice location
Mailing address
Additional practice locations (2)
- 105 Canal Landing Blvd Ste 1Rochester, NY 14626-5107Phone: (585) 368-4050Fax: (585) 723-6705
- 300 Crosman TerRochester, NY 14620-1822Phone: (585) 773-1849
Registry dates
- Enumerated
- 2012-10-19
- Last updated
- 2023-02-01
- Certified
- 2023-02-01
Frequently asked questions
- What is Stacy Johnson's NPI number?
- Stacy Johnson's National Provider Identifier (NPI) is 1083967616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Johnson's specialty?
- Stacy Johnson is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stacy Johnson located?
- Stacy Johnson's practice location on file with NPPES is 1415 Portland Ave Ste 200, Rochester, NY 14621-3022.
- What is Stacy Johnson's phone number?
- The practice phone number listed in the NPPES registry for Stacy Johnson is (585) 922-0390.
- Does Stacy Johnson accept Medicare?
- Stacy Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacy Johnson's NPI active?
- Yes — Stacy Johnson's NPI (1083967616) is active in the NPPES registry as of the last update on 2023-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.