MICHELLE JOHANSEN (M.D.) – Vascular Neurology Physician, NPI 1811287188
Vascular Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
704 NEUROLOGY in VA
Provider Addresses for MICHELLE JOHANSEN (M.D.)
1215 Lee St
Box #800394
Charlottesville, VA 229080816
Phone: (434) 924-5818
Fax: (434) 922-1726
Type: Location
9910 FRANKLIN SQUARE DR STE 2110
BALTIMORE, MD 212364902
Phone: (410) 933-6423
Fax: (410) 933-1390
Type: Mailing
600 N WOLFE ST
BALTIMORE, MD 212870005
Phone: (410) 614-2381
Fax: (410) 614-9807
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: 2017-08-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170816001191 | I | Neurology | MD | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 62 | 55 | $0 |
Insurance plans in this area (ZIP 22908)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| O T O L A R Y N G O L O G Y | TX | |
| Clinical Psychologist | MD | |
| Physician Assistant | MD | |
| Physician Assistant | MD | |
| O P H T H A L M O L O G Y | MD | |
| Pulmonary Disease, Internal Medicine | MD | |
| A N E S T H E S I O L O G Y | MD | |
| - | MD | |
| Emergency Medicine, Internal Medicine | MD |
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