DR. KENDRA LYNN JOHNSON (D.O.) – Obstetrics & Gynecology Physician, NPI 1205060761

DR. KENDRA LYNN JOHNSON (D.O.) is a healthcare provider. based in Grand blanc, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 5101018087 (MI). The NPI Number for DR. KENDRA LYNN JOHNSON (D.O.) is 1205060761

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENDRA LYNN JOHNSON (D.O.)
NPI
1205060761
Phone
(248) 563-3231
Address
5933 WOODFIELD PKWY
Enumeration Date
12 May 2009
Last Update Date
12 May 2009

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2314872340
Graduation Year
2009 (17 years ago)
PAC ID
5294976577
Group Practice PAC ID
0345626073
Professional Enrollment ID
I20130729001022
Address ID
MI497702276PE560XXSTXX406
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,735 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for DR. KENDRA LYNN JOHNSON (D.O.)

  • 5933 WOODFIELD PKWY

    GRAND BLANC, MI 484399465

    Phone: (248) 563-3231

    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 37 Open Payments records for all available years, with a total value of $904.

Total Amount is formed as General ($904) + Research ($0) + Ownership ($0) = $904.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Astellas Pharma US Inc ($200).

Total Amount

$904

General + Research + Ownership

Payments

37

Total payment records

General Amount

$904

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-07-29

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
I20130729001022IObstetrics/GynecologyMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2819$0
76830Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina2116$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1313$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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Provider's Procedures

DR. KENDRA LYNN JOHNSON (D.O.) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYMI81002Urinalysis, manual test3530

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: 0345626073View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KENDRA LYNN JOHNSON (D.O.)?
NPI 1205060761 is assigned to DR. KENDRA LYNN JOHNSON (D.O.) under the national enumeration system.
Is DR. KENDRA LYNN JOHNSON (D.O.) active in the national directory?
DR. KENDRA LYNN JOHNSON (D.O.)'s public NPI profile is in an active state.
Can you summarize DR. KENDRA LYNN JOHNSON (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. KENDRA LYNN JOHNSON (D.O.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does DR. KENDRA LYNN JOHNSON (D.O.) practice in Michigan?
You will see Grand Blanc, Michigan on file for DR. KENDRA LYNN JOHNSON (D.O.) alongside any extra practice locations.
What if Grand Blanc, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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