COLLEEN MARONEY JOHNSON M.D.
NPI 1013216308
Pediatrics in Kenosha, WI

Q: What is Colleen Johnson's NPI number?

The NPI number for Colleen Johnson is 1013216308. It was assigned to this individual provider in the NPPES registry on March 25, 2011. The provider is also known as Colleen Maroney-Rutter MD.

Q: What is Colleen Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Johnson was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 25, 2011

8600 75TH ST STE 101, KENOSHA, WI 53142(262) 652-9430(262) 652-9433 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2022, May 8, 2019, Jul 15, 2016 (3 updates tracked since 2016).

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About Colleen Maroney Johnson M.d. NPPES

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

COLLEEN MARONEY JOHNSON M.D. (NPI 1013216308) is an individual pediatrics provider in Kenosha, Wisconsin, licensed in Wisconsin (60072-20) and active in the NPI registry since March 2011. She maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1013216308

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameCOLLEEN MARONEY JOHNSONCredential: M.D.

Location Address8600 75TH ST STE 101Kenosha, WI 53142-8200

Mailing Address9000 W Wisconsin Ave, Mail Station 958Milwaukee, WI 53226-4874 · (414) 266-7615 · Fax (414) 266-6238

Phone(262) 652-9430

Fax(262) 652-9433

Sole ProprietorNo

Enumeration DateMarch 25, 2011

Last NPPES UpdateApril 20, 20223 updates tracked since enumeration

NPPES CertifiedApril 20, 2022

✔ NPI 1013216308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WI · 60072-20

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8600 75TH ST STE 101, Kenosha, WI 53142

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Other Names 1

Other Name (5)Colleen Maroney-rutter Md

Secondary Practice Location 1

Location 15433 W Fond Du Lac AveMilwaukee, WI 53216-1382 · Phone (414) 277-8900 · Fax (414) 277-8939

Other Identifiers 1

Medicaid1013216308WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. MANAR MOHAMMAD

Pediatrics

8600 75TH ST STE 101
KENOSHA, WI 53142

Kenosha County (262) 652-9430

SADIA HUSSAIN DO

Pediatrics

8600 75TH ST STE 101
KENOSHA, WI 53142

Kenosha County (262) 652-9430

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 Colleen Johnson's NPI number?

The NPI number for Colleen Johnson is 1013216308. It was assigned to this individual provider in the NPPES registry on March 25, 2011. The provider is also known as Colleen Maroney-Rutter MD.

Where is Colleen Johnson located?

Colleen Johnson practices at 8600 75th St Ste 101, Kenosha, WI 53142. The listed phone number is (262) 652-9430.

What is Colleen Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Colleen Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Colleen Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colleen Johnson was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.