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

Rochelle A Johnson

Individual provider Nurse Practitioner · NPI 1104416163

Rochelle A Johnson is a Nurse Practitioner in Waukegan, Illinois. Qualified in 2020, 6 years ago. Practices with Oak Street Health Physicians Group PC, a 234-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021

Practice location Address checks out

3210 Grand Ave
Waukegan, IL 60085-2204
Phone: (847) 440-7339
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.022683 (IL)

Record details

NPI number1104416163
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 24, 2021
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025
Mailing addressPo Box 746715, Atlanta, GA 30374-6715

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 Oak Street Health Physicians Group Pc — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waukegan