MICHEALA JOHNSON – Family Nurse Practitioner, NPI 1013893080

MICHEALA JOHNSON is a healthcare provider. based in Windermere, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11041196 (FL). The NPI Number for MICHEALA JOHNSON is 1013893080

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MICHEALA JOHNSON
NPI
1013893080
Phone
(321) 512-5207
Address
7546 LAKE ALBERT DR
Enumeration Date
14 August 2025
Last Update Date
14 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522343050
Graduation Year
2024 (2 years ago)
PAC ID
0547766412
Group Practice PAC ID
5890155279
Professional Enrollment ID
I20250930002332
Address ID
FL326056401GA817XXTERX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MICHEALA JOHNSON

  • 7546 LAKE ALBERT DR

    WINDERMERE, FL 347865921

    Phone: (321) 512-5207

    Type: Mailing

  • 817 NW 56TH TER STE B

    GAINESVILLE, FL 326056401

    Phone: (321) 512-5207

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250930002332INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34786)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890155279View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
General SurgeryFL
Nurse PractitionerFL
Nurse PractitionerFL
H O S P I T A L I S TFL

Reviews

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Frequently asked questions

Does MICHEALA JOHNSON share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHEALA JOHNSON uses 1013893080.
Does CMS list MICHEALA JOHNSON as active?
Yes — MICHEALA JOHNSON is active in the NPI listing used on this page.
What is MICHEALA JOHNSON's primary classification?
Family Nurse Practitioner is the headline specialty for MICHEALA JOHNSON here. Clinical services aligned with this taxonomy classification.
What area does MICHEALA JOHNSON serve?
MICHEALA JOHNSON's listing highlights Windermere, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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