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ANGELICA JOHNSEN MD
NPI 1144928946
Family Medicine in Philadelphia, PA

Active since February 21, 2023PECOS Enrolled
3400 SPRUCE ST, PHILADELPHIA, PA 19104(215) 615-3564 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, May 7, 2026, Feb 20, 2025 and 1 more (4 updates tracked since 2023).

About Angelica Johnsen Md NPPES

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

ANGELICA JOHNSEN MD (NPI 1144928946) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD493653) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1144928946
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANGELICA JOHNSENCredential: MD
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address3400 Spruce StPhiladelphia, PA 19104-4238 · (215) 615-3564
Phone(215) 615-3564
Sole ProprietorYes
Enumeration DateFebruary 21, 2023
Last NPPES UpdateJune 4, 20264 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1144928946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD493653
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3400 SPRUCE ST, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 241-6500
Location 2885 Tiverton DriveLos Angeles, CA 90095-0001 · Phone (310) 825-6373
Location 31824 Madison AveNew York, NY 10035-3832 · Phone (212) 423-4500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angelica Johnsen Md 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 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

ELIZABETH FOGLIA MD
Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3228
JOEL M STEIN MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
PRISCILLA NELSON M.D.
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DR. JASON THOMAS ACKRIVO MD
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
JEAN-PHILIPPE RICHARD DMD
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6176
LEAH M LOPEZ PA-C
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7870
JOANIE M GARRATT MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
JENNIFER DEKERLEGAND
Physical Therapist
3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3265

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 Angelica Johnsen's NPI number?

The NPI number for Angelica Johnsen is 1144928946. It was assigned to this individual provider in the NPPES registry on February 21, 2023.

Where is Angelica Johnsen located?

Angelica Johnsen practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 615-3564.

What is Angelica Johnsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Angelica Johnsen enrolled in Medicare?

Yes. Angelica Johnsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angelica Johnsen was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.