MICHAEL J JOHNSON
NPI 1104175405
Nurse Practitioner - Psychiatric/Mental Health in Cedar Rapids, IA

Q: What is Michael Johnson's NPI number?

The NPI number for Michael Johnson is 1104175405. It was assigned to this individual provider in the NPPES registry on August 31, 2012.

Q: What is Michael Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michael Johnson was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 31, 2012PECOS Enrolled

1026 A AVE NE, CEDAR RAPIDS, IA 52402(319) 369-7959 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2020, May 9, 2018 (2 updates tracked since 2018).

On this page

About Michael J Johnson NPPES

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

MICHAEL J JOHNSON (NPI 1104175405) is an individual psychiatric/mental health provider in Cedar Rapids, Iowa, licensed in Iowa (G094270) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104175405

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAEL J JOHNSON

Location Address1026 A AVE NECedar Rapids, IA 52402-5036

Mailing Address2826 W Locust StDavenport, IA 52804-3354 · (563) 332-8528

Phone(319) 369-7959

Sole ProprietorNo

Enumeration DateAugust 31, 2012

Last NPPES UpdateSeptember 29, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1104175405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in IA · G094270✔ Licensed in IL · 209009740

1026 A AVE NE, Cedar Rapids, IA 52402

Open in Google Maps ↗

Other Identifiers 1

OtherG094270IA · Arnp License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Johnson 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 52402 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

Other Providers at the Same Location NPPES 20

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

KATHRYN K DIERKS D.O.

Emergency Medicine