JESSICA LOU JOHNSON (D.O.) – Internal Medicine Physician, NPI 1083900278

JESSICA LOU JOHNSON (D.O.) is a healthcare provider. based in Farmington hills, Michigan. specializing in INFECTIOUS DISEASE. They hold the professional credentials D.O.. They hold a License No. 5101019446 (MI). The NPI Number for JESSICA LOU JOHNSON (D.O.) is 1083900278

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LOU JOHNSON (D.O.)
NPI
1083900278
Phone
(734) 358-0842
Address
28050 GRAND RIVER AVE
Enumeration Date
26 June 2011
Last Update Date
26 June 2011

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2482891509
Graduation Year
2011 (15 years ago)
PAC ID
2264731553
Group Practice PAC ID
9335153766
Professional Enrollment ID
I20160509002365
Address ID
MI483076124RO1701XEXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

339 INFECTIOUS DISEASE in MI

Provider Addresses for JESSICA LOU JOHNSON (D.O.)

  • 28050 GRAND RIVER AVE

    FARMINGTON HILLS, MI 483365919

    Phone: (734) 358-0842

    Type: Location

  • 41980 MANOR PARK DR

    APT 128

    NOVI, MI 483752775

    Phone: (734) 358-0842

    Type: Mailing

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: 2016-05-09

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
I20160509002365IInfectious DiseaseMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes645405$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes197192$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1816$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 48336)

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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: 9335153766View full group profile
NameSpecialtyState
Infectious Disease, Internal MedicineMI
Infectious DiseaseMI
Infectious Disease, Internal MedicineMI
Infectious DiseaseMI

Reviews

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Frequently asked questions

What unique ID ties claims to JESSICA LOU JOHNSON (D.O.)?
NPI 1083900278 is assigned to JESSICA LOU JOHNSON (D.O.) under the national enumeration system.
Is JESSICA LOU JOHNSON (D.O.) currently active in the NPI registry?
CMS-published data lists JESSICA LOU JOHNSON (D.O.) as an active registrant.
What field does JESSICA LOU JOHNSON (D.O.) work in?
You can think of JESSICA LOU JOHNSON (D.O.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place JESSICA LOU JOHNSON (D.O.)?
The snapshot lists Farmington Hills, Michigan for JESSICA LOU JOHNSON (D.O.); download NPPES for the complete set.
How can I contact JESSICA LOU JOHNSON (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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