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

Jessica Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366838112

Jessica Johnson is an Internal Medicine in Urbana, Illinois. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2015, 11 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois and New Mexico.

Years since qualifying
11
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
IL, NM
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

611 W Park St Fapc
Urbana, IL 61801
Phone: (217) 902-5291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036146931 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1366838112
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESNovember 27, 2018
Mailing address1006 Briarcliff Dr, Mahomet, IL 61853-9766

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2015 (11 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Urbana