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

Mr. Derick Johnson, APRN

Individual provider Adult Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1154903920

Mr. Derick Johnson, APRN is a Nurse Practitioner in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Heartland Alliance Health, a 14-clinician group and works from 2 locations. Licensed in Illinois and Montana.

Years since qualifying
6
Licensed in
IL, MT
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

8543 S Stony Island Ave Ste 3
Chicago, IL 60617-2249
Phone: (312) 380-9808
Show map & directions

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

Additional practice locations (1)

  • 9900 S Perry Ave, Chicago, IL 60628-1348 — (312) 545-3187

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209.022844 (IL)
Adult Psychiatric/Mental Health Clinical Nurse Specialist Taxonomy 364SP0809X · Licence 286201 (MT)

Record details

NPI number1154903920
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorYes
NPI enumeratedApril 22, 2021
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Heartland Alliance Health — 14 clinicians
Accepts Medicare assignment Not indicated

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