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Rachael Virginia Johnson , PA-C

Physician Assistant β€’ Chicago, IL

Active NPI 1629581855 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

811 S Paulina St
Chicago, IL 606124353

Call 3129967745 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

811 S Paulina St

Chicago, IL 606124353

Telephone 3129967745
Organization at the Same NPPES Address or Phone
The Board Of Trustees Of The University Of Illinois Facility NPI 1659501500

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Chicago, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: The Board Of Trustees Of The University Of Illinois. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2017

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Rachael Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Rachael Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

1,446 active clinicians are listed under Physician Assistant with a practice address in Chicago, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

17.4% of these 1,446 clinicians have the CMS telehealth indicator.

63.6% of these 1,446 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085006452

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

License # reported to NPPES IL 085006452
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20210610001968

Enrollment State Jurisdiction

IL

PECOS Control ID

7911307087

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

The Board Of Trustees Of The University Of Illinois

1309 S Halsted St, Chicago, IL 606075003

Phone: 3124133000

The Board Of Trustees Of The University Of Illinois

1801 W Taylor St, Chicago, IL 606124795

Secondary Practice Locations

1935 N Fairfield Ave Apt 310f

Chicago, IL 606477127

Phone: 3474320788

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Akanksha Srivastava , BDS, MSC, MDSC

Dentist - Oral and Maxillofacial Surgery

NPI 1922483890

BDS, Master of Science, MDSC

Dr. Cynthia Udeh , DDS

Dentist - Prosthodontics

NPI 1912764457

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 06, 2025

Registered at 811 S PAULINA ST, CHICAGO, IL 606124353 (Tel: 3129967745)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2025

Physician Assistant (license number reported to NPPES: IL 085006452)

βœ…
NPI Profile Active November 09, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 09, 2017

Registered at 1935 N FAIRFIELD AVE APT 310F, CHICAGO, IL 606477127 (Tel: 3474320788)

πŸ“
Business Mailing Address (Initial Record) November 09, 2017

Registered at 1935 N FAIRFIELD AVE APT 310F, CHICAGO, IL 606477127 (Tel: 3474320788)

πŸ‘€
Provider Name / Credentials (Initial Record) November 09, 2017

Recorded as RACHAEL JOHNSON, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2017

Physician Assistant

🟒
Initial NPI Registration & Enumeration November 09, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629581855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2017
Last Update: March 06, 2025
Sole Proprietor: Yes

Other Physician Assistants in Chicago

All Physician Assistants in Chicago

Mailing Address

1935 N Fairfield Ave Apt 310f

Chicago, IL 606477127

Phone: 3474320788

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.