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

Stacey Marie Johns

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1235875675

Stacey Marie Johns is a Nurse Practitioner in Meridian, Idaho. Qualified in 2021, 5 years ago. Practices with Northwest Neurobehavioral Health LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2022

Practice location Address checks out

988 N Oxwich Ave
Meridian, ID 83642-7859
Phone: (208) 841-1026
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 72224 (ID)

Record details

NPI number1235875675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 9, 2022
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northwest Neurobehavioral Health Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian