YVONNE LOUISE JOHNSON (PA-C) – Medical Physician Assistant, NPI 1205955101

YVONNE LOUISE JOHNSON (PA-C) is a healthcare provider. based in West bloomfield, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601002912 (MI). The NPI Number for YVONNE LOUISE JOHNSON (PA-C) is 1205955101

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
YVONNE LOUISE JOHNSON (PA-C)
NPI
1205955101
Phone
(248) 325-1561
Address
6777 W MAPLE RD
Enumeration Date
29 March 2007
Last Update Date
25 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2484654100
Graduation Year
1998 (28 years ago)
PAC ID
3173416393
Group Practice PAC ID
6800877481
Professional Enrollment ID
I20040203000473
Address ID
MI483741233NO47601AVEX400

Contacts

Secure Messaging
yjohnson199297@direct.hfhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for YVONNE LOUISE JOHNSON (PA-C)

  • 6777 W MAPLE RD

    SURGICAL SERVICES DEPT/PHYSICAIN VILLAGE

    WEST BLOOMFIELD, MI 483223013

    Phone: (248) 325-1561

    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)

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: 2023-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040203000473IPhysician AssistantMITBD
I20231120000177IPhysician AssistantFLTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3332$0
99284Emergency department visit with moderate level of medical decision making2828$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 48322)

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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: 6800877481View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyMI
Diagnostic RadiologyMI
Physician AssistantMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Physician AssistantMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI
Diagnostic RadiologyMI

Reviews

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Frequently asked questions

How do payers reference YVONNE LOUISE JOHNSON (PA-C)?
For YVONNE LOUISE JOHNSON (PA-C), use NPI 1205955101 as the unique 10-digit identifier.
Is YVONNE LOUISE JOHNSON (PA-C) shown as active in public data?
Registry records indicate YVONNE LOUISE JOHNSON (PA-C) maintains an active NPI.
What kind of doctor is YVONNE LOUISE JOHNSON (PA-C)?
YVONNE LOUISE JOHNSON (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with YVONNE LOUISE JOHNSON (PA-C)?
Directory geography for YVONNE LOUISE JOHNSON (PA-C) centers on West Bloomfield, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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