MRS. MICHELE DAWN JOHNSON (APN) – Adult Health Nurse Practitioner, NPI 1407039167
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for MRS. MICHELE DAWN JOHNSON (APN)
3775, North Mulford Road, Rockford, Winnebago County, Illinois, 61114, United States
ROCKFORD, IL 611145632
Phone: (815) 636-6400
Type: Location
8870, Polaris Drive, Machesney Park, Winnebago County, Illinois, 61115, United States
MACHESNEY PARK, IL 611152258
Phone: (815) 877-1340
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $413.
Total Amount is formed as General ($413) + Research ($0) + Ownership ($0) = $413.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Abbott Laboratories ($163).
Total Amount
$413
General + Research + Ownership
Payments
3
Total payment records
General Amount
$413
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $163 |
| Novo Nordisk Inc | $125 |
| Lilly USA, LLC | $125 |
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: 2008-02-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080211000178 | I | Nurse Practitioner | IL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 315 | 246 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 107 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 44 | 43 | $0 |
| G0008 | Administration of influenza virus vaccine | 35 | 34 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 32 | 31 | $0 |
Insurance plans in this area (ZIP 61114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Internal Medicine | IL | |
| Family Practice, Sports Medicine | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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