MICHELLE JOHNSON
NPI 1184181208
Nurse Practitioner in Fort Wayne, IN

Q: What is Michelle Johnson's NPI number?

The NPI number for Michelle Johnson is 1184181208. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Q: What is Michelle Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Johnson was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 25, 2019PECOS Enrolled

11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(833) 724-8326(260) 425-6845 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2019, Feb 25, 2019 (2 updates tracked since 2019).

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About Michelle Johnson NPPES

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

MICHELLE JOHNSON (NPI 1184181208) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71008907A) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184181208

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMICHELLE JOHNSON

Location Address11050 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1739

Mailing Address3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703

Phone(833) 724-8326

Fax(260) 425-6845

Sole ProprietorNo

Enumeration DateFebruary 25, 2019

Last NPPES UpdateApril 25, 20192 updates tracked since enumeration

✔ NPI 1184181208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71008907A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 28221298A (IN)

11050 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle 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 46845 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0471

DME-Other DME · category DE001N

1 supplier12 claims12 services$303.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JESSICA NICOLE HEFFNER

Registered Nurse (Oncology)