ROBERT W JOHANSEN (MD) – Psychiatry Physician, NPI 1528056512

ROBERT W JOHANSEN (MD) is a healthcare provider. based in Erie, Pennsylvania. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. MD013856E (PA). The NPI Number for ROBERT W JOHANSEN (MD) is 1528056512

Main info

Male
55 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT W JOHANSEN (MD)
NPI
1528056512
Phone
(814) 877-7100
Address
717 STATE ST
Enumeration Date
12 October 2005
Last Update Date
22 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8148775381
Graduation Year
1971 (55 years ago)
PAC ID
0345225793
Group Practice PAC ID
4880593722
Professional Enrollment ID
I20040621001300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ROBERT W JOHANSEN (MD)

  • Magnus Wealth Management, 717, State Street, Downtown Erie, Erie, Erie County, Pennsylvania, 16501, United States

    SUITE 16, LL

    ERIE, PA 165011341

    Phone: (814) 877-7100

    Fax: (814) 877-2939

    Type: Mailing

  • UPMC Hamot, 201, State Street, Erie, Erie County, Pennsylvania, 16550, United States

    HAMOT FACULTY SPECIALISTS

    ERIE, PA 165500002

    Phone: (814) 877-4922

    Fax: (814) 877-3622

    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: 2004-06-21

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
I20040621001300IPsychiatryPATBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 16501)

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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: 4880593722View full group profile
NameSpecialtyState
Family Practice, Emergency MedicinePA
-PA
-PA
Diagnostic RadiologyPA
-PA
Nurse PractitionerPA
-PA
Diagnostic RadiologyNV
-PA
Diagnostic RadiologyPA

Reviews

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Frequently asked questions

Is ROBERT W JOHANSEN (MD) listed with a National Provider Identifier?
Yes — ROBERT W JOHANSEN (MD) has NPI 1528056512 on file in the registry.
Is there an active status for ROBERT W JOHANSEN (MD)?
For scheduling context, ROBERT W JOHANSEN (MD) is shown as active in the registry.
What clinical focus is listed for ROBERT W JOHANSEN (MD)?
At a glance, ROBERT W JOHANSEN (MD) is tied to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is ROBERT W JOHANSEN (MD) located near Erie?
ROBERT W JOHANSEN (MD) currently maps to Erie, Pennsylvania in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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