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

Stacey Johnson, FNP/BC

Individual provider Family Nurse Practitioner · NPI 1679978803

Stacey Johnson, FNP/BC is a Nurse Practitioner in Coal City, Illinois. Qualified in 2014, 12 years ago. Practices with Morris Hospital, a 115-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014

Practice location Address checks out

4 E North St
Coal City, IL 60416-1087
Phone: (815) 518-5755
Fax: (815) 634-4097
Show map & directions

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

Additional practice locations (1)

  • 425 E Us Route 6, Morris, IL 60450-9042 — (815) 942-8080

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209012102 (IL)

Record details

NPI number1679978803
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP/BC
Sole proprietorNo
NPI enumeratedOctober 30, 2014
Last updated in NPPESNovember 25, 2019

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 Morris Hospital — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Coal City