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

Mrs. Michele Dawn Johnson, APN

Individual provider Adult Health Nurse Practitioner · NPI 1407039167

Mrs. Michele Dawn Johnson, APN is a Nurse Practitioner in Rockford, Illinois. Qualified in 2007, 19 years ago. Practices with Saint Anthony Medical Center, a 43-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2007
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

3775 N Mulford Rd
Rockford, IL 61114-5632
Phone: (815) 636-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209.006878 (IL)

Record details

NPI number1407039167
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedDecember 17, 2007
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Saint Anthony Medical Center — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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