SIMIRA JOHNSON (NP) – Nurse Practitioner, NPI 1902213697

SIMIRA JOHNSON (NP) is a healthcare provider. based in Plymouth, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704239161 (MI). The NPI Number for SIMIRA JOHNSON (NP) is 1902213697

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SIMIRA JOHNSON (NP)
NPI
1902213697
Phone
(734) 335-6103
Address
15474 N HAGGERTY RD
Enumeration Date
15 July 2014
Last Update Date
11 December 2014

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8444759526
Graduation Year
2013 (13 years ago)
PAC ID
2860618741
Group Practice PAC ID
9133588346
Professional Enrollment ID
I20140730000264
Address ID
MI483343161FA30600HWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for SIMIRA JOHNSON (NP)

  • 15474 N HAGGERTY RD

    PLYMOUTH, MI 481704893

    Phone: (734) 335-6103

    Fax: (734) 404-5317

    Type: Location

  • 901 MCCLINTOCK DR

    SUITE 202

    BURR RIDGE, IL 605270871

    Phone: (888) 220-6432

    Fax: (630) 734-4715

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $207.

Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($207).

Total Amount

$207

General + Research + Ownership

Payments

4

Total payment records

General Amount

$207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

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: 2014-07-30

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
I20140730000264INurse PractitionerMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes27233$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes16531$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes5130$0
99497Advance care planning, first 30 minutes2520$0
View full utilization report →

Insurance plans in this area (ZIP 48170)

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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: 9133588346View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What NPI should I save for SIMIRA JOHNSON (NP)?
Save NPI 1902213697 if you need a stable reference for SIMIRA JOHNSON (NP).
Is SIMIRA JOHNSON (NP) currently active in the NPI registry?
CMS-published data lists SIMIRA JOHNSON (NP) as an active registrant.
What kind of provider is SIMIRA JOHNSON (NP)?
The page reflects Nurse Practitioner for SIMIRA JOHNSON (NP). Clinical services aligned with this taxonomy classification.
Where is SIMIRA JOHNSON (NP)'s primary listing?
We display Plymouth, Michigan because that is what the record indicates for SIMIRA JOHNSON (NP).
How can I contact SIMIRA JOHNSON (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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