MICHELLE L JOHNSON (MD) – Family Medicine Physician, NPI 1316933153

MICHELLE L JOHNSON (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 44734 (MN). The NPI Number for MICHELLE L JOHNSON (MD) is 1316933153

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE L JOHNSON (MD)
NPI
1316933153
Phone
(952) 428-0200
Address
2925 CHICAGO AVE
Enumeration Date
27 September 2005
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
3206825225
Graduation Year
2000 (26 years ago)
PAC ID
4688617368
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20050603000263
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
mjohnson86431@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,076 FAMILY PRACTICE in MN

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Provider Addresses for MICHELLE L JOHNSON (MD)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (952) 428-0200

    Fax: (952) 428-0499

    Type: Mailing

  • West 143rd Street, Savage, Scott County, Minnesota, 55378, United States

    SAVAGE, MN 553782890

    Phone: (952) 428-0200

    Fax: (952) 428-0499

    Type: Location

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: 2005-06-03

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
I20050603000263IFamily PracticeMNTBD

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
36415Insertion of needle into vein for collection of blood sample410188$0
99214Established patient office or other outpatient visit, 30-39 minutes277138$0
80053Blood test, comprehensive group of blood chemicals171129$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count155112$0
93793Anticoagulant management of patient taking warfarin14714$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MICHELLE L JOHNSON (MD) in U.S. healthcare records?
The official identifier for MICHELLE L JOHNSON (MD) is NPI 1316933153.
Is MICHELLE L JOHNSON (MD) still an active registrant?
MICHELLE L JOHNSON (MD) carries an active NPI according to the public dataset.
What expertise is attributed to MICHELLE L JOHNSON (MD)?
MICHELLE L JOHNSON (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MICHELLE L JOHNSON (MD) associated with Minneapolis?
Public fields place MICHELLE L JOHNSON (MD) around Minneapolis, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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