HOLLY JOHNSON
NPI 1124475058
Nurse Practitioner - Family in Escanaba, MI

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
3409 LUDINGTON ST, SUITE 100, ESCANABA, MI 49829(906) 789-4414 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 27, 2017, May 20, 2016 (2 updates tracked since 2016).

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

NPI1124475058
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHOLLY JOHNSON
Location Address3409 LUDINGTON ST, SUITE 100Escanaba, MI 49829-4212
Mailing Address3409 Ludington St, Suite 100Escanaba, MI 49829-4212 · (906) 789-4414
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 20, 2016
Last NPPES UpdateJune 27, 20172 updates tracked since enumeration
NPI 1124475058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704278219
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704278219 (MI)
3409 LUDINGTON ST, Escanaba, MI 49829

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2567759202
PECOS Enrollment IDI20160923002202
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.

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, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Physician 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.

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.

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.

Surgery
3409 LUDINGTON ST, SUITE 206
ESCANABA, MI 49829
Clinic/Center (Rural Health)
3409 LUDINGTON ST
ESCANABA, MI 49829
Orthopaedic Surgery
3409 LUDINGTON ST, SUITE 200
ESCANABA, MI 49829
Family Medicine
3409 LUDINGTON ST, SUITE 104
ESCANABA, MI 49829
Family Medicine
3409 LUDINGTON ST, SUITE 104
ESCANABA, MI 49829
Physician Assistant
3409 LUDINGTON ST, SUITE 100
ESCANABA, MI 49829
Surgery
3409 LUDINGTON ST, SUITE 206
ESCANABA, MI 49829
Family Medicine
3409 LUDINGTON ST, SUITE 104
ESCANABA, MI 49829

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.

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 with the weekly NPPES data releases published by CMS.