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

Susan-Ae H Johnson, RN

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1861105389

Susan-Ae H Johnson, RN is a Nurse Practitioner in Beavercreek, Ohio. Qualified in 2023, 3 years ago. Practices with Woodstream Wellness, a 53-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

1411 N Fairfield Rd
Beavercreek, OH 45432-2637
Phone: (937) 426-2686
Fax: (937) 426-6230
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 APRN.CNP.0036177 (OH)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence RN.424978 (OH)

Record details

NPI number1861105389
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedDecember 29, 2022
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Woodstream Wellness — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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