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

Stacie L Johnson, PAC

Individual provider Physician Assistant · NPI 1770696890

Stacie L Johnson, PAC is a Physician Assistant in McHenry, Illinois. Qualified in 2002, 24 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone: (815) 759-3100
Fax: (815) 363-9094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 W Medical Center Dr, McHenry, IL 60050-8409 — (815) 759-3100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002273 (IL)

Record details

NPI number1770696890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 15, 2006
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in McHenry