MICHELLE DAWN JOHNSON – Family Nurse Practitioner, NPI 1083015424

MICHELLE DAWN JOHNSON is a healthcare provider. based in Marquette, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704212503 (MI). The NPI Number for MICHELLE DAWN JOHNSON is 1083015424

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE DAWN JOHNSON
NPI
1083015424
Phone
(906) 360-1080
Address
2003 ORCHARD ST
Enumeration Date
4 September 2014
Last Update Date
4 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062253910
Graduation Year
1997 (29 years ago)
PAC ID
0345461620
Group Practice PAC ID
9931359601
Professional Enrollment ID
I20141030001384
Address ID
MI498555407MA1414XAVEX431
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MICHELLE DAWN JOHNSON

  • 2003 ORCHARD ST

    MARQUETTE, MI 498552407

    Phone: (906) 360-1080

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $771.

Total Amount is formed as General ($771) + Research ($0) + Ownership ($0) = $771.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: OPKO Pharmaceuticals, LLC ($140).

Total Amount

$771

General + Research + Ownership

Payments

21

Total payment records

General Amount

$771

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-10-30

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
I20141030001384INurse PractitionerMITBD

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 minutes13388$0
99213Established patient office or other outpatient visit, 20-29 minutes9159$0
View full utilization report →

Insurance plans in this area (ZIP 49855)

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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: 9931359601View full group profile
NameSpecialtyState
-MI
Pulmonary DiseaseMI
H O S P I T A L I S TMI
Physician AssistantMI
Thoracic SurgeryIL
Nurse PractitionerMI
-MI
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)MI
-MI
Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

What is the registry number for MICHELLE DAWN JOHNSON?
The registry entry for MICHELLE DAWN JOHNSON shows NPI 1083015424.
Is MICHELLE DAWN JOHNSON's NPI status active today?
Active status means MICHELLE DAWN JOHNSON's NPI record is not deactivated in the public file.
What services align with MICHELLE DAWN JOHNSON's listing?
MICHELLE DAWN JOHNSON's public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MICHELLE DAWN JOHNSON?
MICHELLE DAWN JOHNSON shows a connection to Marquette, Michigan in registry-derived data.
Why is information missing for MICHELLE DAWN JOHNSON?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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