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ROSA LEE JOHNSON D.O.
NPI 1003981176
Family Medicine in Niles, MI

Active since November 22, 2006PECOS Enrolled
4 LONGMEADOW VILLAGE DR, NILES, MI 49120(269) 684-6000(269) 684-1388 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rosa Lee Johnson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSA LEE JOHNSON D.O. (NPI 1003981176) is an individual family medicine provider in Niles, Michigan, licensed in Michigan (5101015534) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003981176
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROSA LEE JOHNSONCredential: D.O.
Location Address4 LONGMEADOW VILLAGE DRNiles, MI 49120-7809
Mailing Address4 Longmeadow Village DrNiles, MI 49120-7809 · (269) 684-6000 · Fax (269) 684-1388
Phone(269) 684-6000
Fax(269) 684-1388
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateJune 8, 2012
✔ NPI 1003981176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101015534
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4 LONGMEADOW VILLAGE DR, Niles, MI 49120
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Other Identifiers 3

Medicare PINMI2051009MI
Medicare UPINI40128MI
Medicaid4960356-11MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosa Lee Johnson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers54 claims143 services$5.80 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims24 services$1.05 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$40.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRIA CAROLINE RODEN MD
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
JOHN W. HOWARD M.D.
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
DR. ELLEN TAMBUNAN M.D.
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
CICELY MORENO M.D.
Family Medicine (Addiction Medicine)
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
TRACY J TACKET DO
Family Medicine
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
LAKELAND MEDICAL PRACTICES
Clinic/Center
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000
LAKELAND FAMILY CARE OF NILES
Family Medicine
4 LONGMEADOW VILLAGE DR, SUITE 2
NILES, MI 49120
Berrien County (269) 684-6000
LAKELAND MEDICAL PRACTICES
Clinic/Center
4 LONGMEADOW VILLAGE DR
NILES, MI 49120
Berrien County (269) 684-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosa Johnson's NPI number?

The NPI number for Rosa Johnson is 1003981176. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Rosa Johnson located?

Rosa Johnson practices at 4 Longmeadow Village Dr, Niles, MI 49120. The listed phone number is (269) 684-6000.

What is Rosa Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rosa Johnson enrolled in Medicare?

Yes. Rosa Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rosa Johnson was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.