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

Jill M Johnson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821507492

Jill M Johnson is a Nurse Practitioner in Summersville, West Virginia. Qualified in 2017, 9 years ago. Practices with Camden on Gauley Medical Center Inc, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
9
Licensed in
WV
In the registry since
2017

Practice location Address checks out

415 Main St
Summersville, WV 26651-1343
Phone: (304) 872-1663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 32 Pioneer Ln, Summersville, WV 26651-1889 — (681) 224-0660

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence PMHNP71327WV (WV)

Record details

NPI number1821507492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2017
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address32 Pioneer Ln, Summersville, WV 26651-1889

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Camden On Gauley Medical Center Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Summersville