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

Michelle D Johnson, APN

Individual provider Acute Care Nurse Practitioner · NPI 1790186070

Michelle D Johnson, APN is a Nurse Practitioner in Peoria, Illinois. Qualified in 2014, 12 years ago. Practices with Oncology-Hematology Associates of Central Illinois P C, a 64-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone: (309) 243-3000
Fax: (309) 243-3040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209011812 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 209011812 (IL)

Record details

NPI number1790186070
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedSeptember 5, 2014
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address8940 N Wood Sage Rd, Peoria, IL 61615-7822

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Oncology-Hematology Associates Of Central Illinois P C — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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