DR. MAGGIE SULLIVAN JOHNSON (M.D.) – Family Medicine Physician, NPI 1598119802

DR. MAGGIE SULLIVAN JOHNSON (M.D.) is a healthcare provider. based in West springfield, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 278377 (MA). The NPI Number for DR. MAGGIE SULLIVAN JOHNSON (M.D.) is 1598119802

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAGGIE SULLIVAN JOHNSON (M.D.)
NPI
1598119802
Phone
(413) 204-1656
Address
36 APPLE RIDGE RD
Enumeration Date
22 April 2016
Last Update Date
29 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8773795522
Graduation Year
2016 (10 years ago)
PAC ID
0345575833
Group Practice PAC ID
3577467224
Professional Enrollment ID
I20190703001989
Address ID
MA019691919RO414XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

6,100 FAMILY PRACTICE in PA

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Provider Addresses for DR. MAGGIE SULLIVAN JOHNSON (M.D.)

  • 36, Apple Ridge Road, Cayenne, West Springfield, Hampden County, Massachusetts, 01089, United States

    WEST SPRINGFIELD, MA 010894548

    Phone: (413) 204-1656

    Type: Mailing

  • Market Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19104-2989, United States

    PHILADELPHIA, PA 191045545

    Phone: (215) 294-9284

    Type: Location

  • 20 DOROTHY E LUCEY DR

    NEWBURYPORT, MA 019501781

    Phone: (413) 204-1656

    Type: Mailing

  • 414 HAVERHILL ST

    ROWLEY, MA 019691919

    Phone: (877) 379-5522

    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: 2019-07-03

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
I20190703001989IFamily PracticeMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes248155$0
93793Anticoagulant management of patient taking warfarin9911$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9999$0
G0008Administration of influenza virus vaccine5959$0
90662Influenza vaccine split virus, preservative free5252$0
View full utilization report →

Insurance plans in this area (ZIP 01089)

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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: 3577467224View full group profile

Reviews

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Frequently asked questions

What number should I use to identify DR. MAGGIE SULLIVAN JOHNSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1598119802 for DR. MAGGIE SULLIVAN JOHNSON (M.D.).
Is DR. MAGGIE SULLIVAN JOHNSON (M.D.)'s NPI status active today?
Active status means DR. MAGGIE SULLIVAN JOHNSON (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. MAGGIE SULLIVAN JOHNSON (M.D.)'s listing?
DR. MAGGIE SULLIVAN JOHNSON (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MAGGIE SULLIVAN JOHNSON (M.D.)?
The directory associates DR. MAGGIE SULLIVAN JOHNSON (M.D.) with West Springfield, Massachusetts. Check all listed addresses for suites or satellite offices.
Who maintains DR. MAGGIE SULLIVAN JOHNSON (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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