NANCY MOE JOHNSON PA NPI 1417262528

NPI Information

  • NPI: 1417262528
  • Provider Name: NANCY MOE JOHNSON, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1905 E HUEBBE PKWY
    BELOIT CLINIC
    BELOIT, WI
    ZIP 53511
  • Phone: (608) 364-1460

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NPI Details

Nancy Moe Johnson, PA is a medical physician assistant in Beloit, WI with 16 years of experience. Nancy Moe Johnson, PA NPI is 1417262528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1905 E HUEBBE PKWY
BELOIT CLINIC
BELOIT, WI
ZIP 53511-842
Phone: (608) 364-1460
Fax: (608) 363-7317

The NPI 1417262528 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/12/2010 and was last updated on 11/16/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical3203COLORADONo
2363AM0700XPhysician AssistantMedical2640-33WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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