MRS. ANDREA G JOHNSON (CSPOMM DO MB) – Neuromusculoskeletal Medicine & OMM Physician, NPI 1679568174

MRS. ANDREA G JOHNSON (CSPOMM DO MB) is a healthcare provider. based in Okemos, Michigan. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials CSPOMM DO MB. They hold a License No. 5101009343 (MI). The NPI Number for MRS. ANDREA G JOHNSON (CSPOMM DO MB) is 1679568174

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ANDREA G JOHNSON (CSPOMM DO MB)
NPI
1679568174
Phone
(517) 381-0299
Address
2501 JOLLY RD
Enumeration Date
12 September 2005
Last Update Date
28 June 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2316723883
Graduation Year
1985 (41 years ago)
PAC ID
1456510957
Group Practice PAC ID
2365439544
Professional Enrollment ID
I20120301000622
Address ID
MI494441849MU1500XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

158 OSTEOPATHIC MANIPULATIVE MEDICINE in MI

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Provider Addresses for MRS. ANDREA G JOHNSON (CSPOMM DO MB)

  • 2501, Jolly Oak Road, Okemos, Ingham County, Michigan, 48864, United States

    SUITE 120

    OKEMOS, MI 488643676

    Phone: (517) 381-0299

    Fax: (517) 381-9950

    Type: Mailing

  • 1150 E SHERMAN BLVD STE 2400

    MUSKEGON, MI 494441886

    Phone: (231) 672-6336

    Fax: (231) 672-6335

    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: 2012-03-01

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
I20120301000622IOsteopathic Manipulative 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
98927Osteopathic manipulative treatment, 5-6 body regions9231$0
99213Established patient office or other outpatient visit, 20-29 minutes8829$0
99214Established patient office or other outpatient visit, 30-39 minutes6432$0
98928Osteopathic manipulative treatment, 7-8 body regions3119$0
98926Osteopathic manipulative treatment, 3-4 body regions2718$0
View full utilization report →

Insurance plans in this area (ZIP 48864)

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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: 2365439544View full group profile
NameSpecialtyState
Internal Medicine, HospitalistIL
Osteopathic Manipulative Medicine, Emergency MedicineTX
Hospitalist, Internal MedicineMI
Clinical PsychologistCA
Physician AssistantMI
Physician AssistantMI
Physician AssistantMT
Physician AssistantMI
Internal MedicineMI
Internal MedicineMI

Reviews

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Frequently asked questions

How do I look up MRS. ANDREA G JOHNSON (CSPOMM DO MB) by NPI?
Use NPI 1679568174 when you need to reference MRS. ANDREA G JOHNSON (CSPOMM DO MB) in forms, claims, or directories.
Does this profile mean MRS. ANDREA G JOHNSON (CSPOMM DO MB) is currently active?
Yes — MRS. ANDREA G JOHNSON (CSPOMM DO MB) appears active in the national provider directory.
What does MRS. ANDREA G JOHNSON (CSPOMM DO MB) treat or focus on?
Patients typically see MRS. ANDREA G JOHNSON (CSPOMM DO MB) under the specialty Neuromusculoskeletal Medicine & OMM Physician. Clinical services aligned with this taxonomy classification.
Where is MRS. ANDREA G JOHNSON (CSPOMM DO MB)'s primary listing?
We display Okemos, Michigan because that is what the record indicates for MRS. ANDREA G JOHNSON (CSPOMM DO MB).
How can I contact MRS. ANDREA G JOHNSON (CSPOMM DO MB)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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