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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Methodist Hospital
Same address
Cardiovascular Disease
1026 A AVE NE
Cedar Rapids, IA 52402
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: St Lukes Methodist Hospital
  • 166 clinicians in this Medicare group
NPI 1073553939 (319) 369-7211
Vera French Community Mental Health
65 mi
Mental Health (Including Community Mental Health Center)
1441 W CENTRAL PARK AVE
Davenport, IA 52804
  • Reassigned Medicare billing, Iowa enrollment
  • 51 clinicians in this Medicare group
NPI 1245291129 (563) 383-1900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Linn County (319) 369-8600
JERICA SAMSON FNP
Nurse Practitioner (Family)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Linn County (319) 369-7211
CARRIE ANN OLMSTEAD PHARM D
Pharmacist (Ambulatory Care)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Linn County (319) 369-8970
BRIAN FARRIS PHARMD
Pharmacist (Emergency Medicine)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Linn County (319) 369-7105
DR. DALE L. WALDNER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Linn County (319) 369-7002
DEVEN VOELKER DO
Hospitalist
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Linn County (319) 368-5970
JAXON PAUL EILERS PBT MLA
Technician, Pathology (Phlebotomy)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Linn County (319) 369-7211
SAMANTHA MARIE QUICK
Registered Nurse (Medical-Surgical)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Linn County (319) 369-7234

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 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.

Where is Michael Johnson located?

Michael Johnson practices at 1026 A Ave NE, Cedar Rapids, IA 52402. The listed phone number is (319) 369-7959.

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.

Is Michael Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Michael Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Johnson reassigns Medicare benefits to 2 organizations: St. Luke's Methodist Hospital (Cedar Rapids, IA) and Vera French Community Mental Health (Davenport, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.