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

Rachael O Johnson, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306317383

Rachael O Johnson, PMHNP-BC is a Nurse Practitioner in Carbondale, Illinois. Qualified in 2018, 8 years ago. Practices with Shawnee Health Service and Development Corp, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

404 S Lewis Ln
Carbondale, IL 62901
Phone: (618) 519-9200
Fax: (618) 549-1288
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209018485 (IL)

Record details

NPI number1306317383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESDecember 19, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Shawnee Health Service And Development Corp — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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