HOLLY JOHNSON
NPI 1124475058
Nurse Practitioner - Family in Escanaba, MI
About Holly Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY JOHNSON (NPI 1124475058) is an individual family provider in Escanaba, Michigan, licensed in Michigan (4704278219) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Holly Johnson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Holly Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Escanaba, MI 49829
- Reassigned Medicare billing, Michigan enrollment
- 118 clinicians in this Medicare group
Manistique, MI 49854
- Reassigned Medicare billing, Michigan enrollment
- 57 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Michigan enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Osf St Francis Hospital And Medical Group
Critical Access Hospitals · Escanaba, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49829 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Holly Johnson's NPI number?
The NPI number for Holly Johnson is 1124475058. It was assigned to this individual provider in the NPPES registry on May 20, 2016.
Where is Holly Johnson located?
Holly Johnson practices at 3409 Ludington St Suite 100, Escanaba, MI 49829. The listed phone number is (906) 789-4414.
What is Holly Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holly Johnson enrolled in Medicare?
Yes. Holly Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Holly Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Johnson reassigns Medicare benefits to 3 organizations: St. Francis Hospital (Escanaba, MI), Schoolcraft Memorial Hospital (Manistique, MI) and Osf Multi-Specialty Group (Peoria, IL). 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 Holly Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Johnson accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Holly 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.
Is Holly Johnson affiliated with any hospitals?
According to CMS data, Holly Johnson is affiliated with Osf St Francis Hospital And Medical Group.
When was this NPI record last updated?
The NPPES record for Holly Johnson was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Holly Johnson · NPI 1124475058
Family physician in Escanaba, Michigan. Individual provider, active in the CMS NPPES registry since May 20, 2016.
## Identity
- **NPI:** 1124475058 (Entity type: Individual)
- **Enumerated:** May 20, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704278219 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3409 LUDINGTON ST, SUITE 100, Escanaba, MI 49829-4212
- **Phone:** (906) 789-4414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St. Francis Hospital (NPI 1629011622, Escanaba, MI); Schoolcraft Memorial Hospital (NPI 1700805157, Manistique, MI); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 27, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1124475058) · Data from the CMS NPPES public registry.