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

Tricia Sue Johnson, APN

Individual provider Nurse Practitioner · NPI 1639457526

Tricia Sue Johnson, APN is a Nurse Practitioner in Moline, Illinois. Qualified in 2011, 15 years ago. Practices with Ora Orthopedics PC, a 118-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

520 Valley View Dr
Moline, IL 61265-6194
Phone: (309) 762-3621
Fax: (309) 762-3690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.008926 (IL)

Record details

NPI number1639457526
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedJuly 27, 2011
Last updated in NPPESJuly 27, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ora Orthopedics Pc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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