Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chadwick T. Johnson, ACNP

Individual provider Emergency Medicine Physician · NPI 1821010109

Chadwick T. Johnson, ACNP is a Nurse Practitioner in College Station, Texas. Qualified in 2001, 25 years ago. Practices with Eastern Aleutian Tribes, Inc, a 32-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
25
Licensed in
TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

700 Scott And White Dr
College Station, TX 77845-6441
Phone: (979) 207-0100
Fax: (979) 207-2161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP111203 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 604645 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 604645 (TX)

Record details

NPI number1821010109
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESNovember 14, 2016
Mailing addressPo Box 844658, Dallas, TX 75284-4658

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Eastern Aleutian Tribes, Inc. — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in College Station