ELLEN JOHNSON (DO) – Psychiatry Physician, NPI 1407986813

ELLEN JOHNSON (DO) is a healthcare provider. based in Burton, Michigan. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. EJ008605 (MI). The NPI Number for ELLEN JOHNSON (DO) is 1407986813

Main info

Female
43 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN JOHNSON (DO)
NPI
1407986813
Phone
(810) 744-1883
Address
4165 E LIPPINCOTT BLVD
Enumeration Date
6 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107441883
Graduation Year
1983 (43 years ago)
PAC ID
4082628391
Professional Enrollment ID
I20060125000895
Address ID
MI485191819BU4165XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 PSYCHIATRY in MI

Provider Addresses for ELLEN JOHNSON (DO)

  • 4165 E LIPPINCOTT BLVD

    BURTON, MI 48519

    Phone: (810) 744-1883

    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 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($37).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2006-01-25

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
I20060125000895IPsychiatryMITBD

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
90834Psychotherapy, 45 minutes15711$0
View full utilization report →

Insurance plans in this area (ZIP 48519)

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Reviews

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Frequently asked questions

Where can patients find ELLEN JOHNSON (DO)'s NPI?
You can confirm ELLEN JOHNSON (DO) with NPI 1407986813; it appears in the national provider directory.
Is ELLEN JOHNSON (DO) active in the national directory?
ELLEN JOHNSON (DO)'s public NPI profile is in an active state.
What field does ELLEN JOHNSON (DO) work in?
You can think of ELLEN JOHNSON (DO) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does ELLEN JOHNSON (DO) practice in Michigan?
You will see Burton, Michigan on file for ELLEN JOHNSON (DO) alongside any extra practice locations.
Is ELLEN JOHNSON (DO) a real provider?
This page reflects official NPPES data for NPI 1407986813. Always confirm identity and privileges with the practice and licensing boards.

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