EMILY JOHNSON (MD) – Emergency Medicine Physician, NPI 1205256286

EMILY JOHNSON (MD) is a healthcare provider. based in Hancock, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 4301105760 (MI). The NPI Number for EMILY JOHNSON (MD) is 1205256286

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
EMILY JOHNSON (MD)
NPI
1205256286
Phone
(906) 483-1000
Address
500 CAMPUS DR
Enumeration Date
17 April 2014
Last Update Date
29 November 2017

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
9064831060
Graduation Year
2014 (12 years ago)
PAC ID
3274814272
Group Practice PAC ID
6103053509
Professional Enrollment ID
I20170615000693
Address ID
MI499301452HA500XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for EMILY JOHNSON (MD)

  • 500 CAMPUS DR

    HANCOCK, MI 499301452

    Phone: (906) 483-1000

    Fax: (906) 483-1270

    Type: Location

  • 3125 WRIGHT ST APT 3

    MARQUETTE, MI 498558641

    Phone: (720) 289-2949

    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: 2017-06-15

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
I20170615000693IEmergency MedicineMITBD

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
99284Emergency department visit with moderate level of medical decision making7666$0
99283Emergency department visit with low level of medical decision making6862$0
99285Emergency department visit with high level of medical decision making4037$0
View full utilization report →

Insurance plans in this area (ZIP 49930)

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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: 6103053509View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal Medicine, Geriatric MedicineMI
R H E U M A T O L O G YNC
General SurgeryMI
Nurse PractitionerMI
Emergency MedicineMI
-MI
U R O L O G YPA
Nurse PractitionerMI
Family PracticeMI

Reviews

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Frequently asked questions

How is EMILY JOHNSON (MD) identified in CMS data?
CMS-hosted NPPES data lists EMILY JOHNSON (MD) with NPI 1205256286.
Is EMILY JOHNSON (MD) listed as active for patients and plans?
The listing shows EMILY JOHNSON (MD) as active in the NPI system.
What is EMILY JOHNSON (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for EMILY JOHNSON (MD) here. Clinical services aligned with this taxonomy classification.
What area does EMILY JOHNSON (MD) serve?
EMILY JOHNSON (MD)'s listing highlights Hancock, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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