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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENDRA LYNN JOHNSON D.O.
NPI 1205060761
Obstetrics & Gynecology in Gaylord, MI

Active since May 12, 2009PECOS EnrolledAccepts Medicare Assignment
829 N CENTER AVE STE 200, GAYLORD, MI 49735(989) 731-2105(989) 731-2440 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kendra Lynn Johnson D.o. NPPES

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

DR. KENDRA LYNN JOHNSON D.O. (NPI 1205060761) is an individual obstetrics & gynecology provider in Gaylord, Michigan, licensed in Michigan (5101018087) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205060761
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KENDRA LYNN JOHNSONCredential: D.O.
Location Address829 N CENTER AVE STE 200Gaylord, MI 49735-1598
Mailing Address829 N Center Ave Ste 200Gaylord, MI 49735-1598 · (989) 731-2105 · Fax (989) 731-2440
Phone(989) 731-2105
Fax(989) 731-2440
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2009
Enumeration DateMay 12, 2009
Last NPPES UpdateOctober 13, 2026
NPPES CertifiedOctober 13, 2026
✔ NPI 1205060761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 5101018087
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
829 N CENTER AVE STE 200, Gaylord, MI 49735
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Secondary Practice Locations 3

Location 11619 Anderson RdPetoskey, MI 49770-9256 · Phone (231) 417-6010 · Fax (231) 417-6005
Location 23860 S Straits HwyIndian River, MI 49749-5146 · Phone (231) 238-0581 · Fax (231) 238-0856
Location 35933 Woodfield PkwyGrand Blanc, MI 48439-9465 · Phone (248) 563-3231

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Kendra Lynn Johnson D.o. 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 ID5294976577
PECOS Enrollment IDI20130729001022
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 Kendra Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Munson Healthcare Charlevoix Hospital
35 mi
Urology
11695 PARK AVE, SUITE A
Charlevoix, MI 49720
  • Reassigned Medicare billing, Michigan enrollment
  • 35 clinicians in this Medicare group
NPI 1609477488 (231) 487-2270
Uwh Of Michigan Plc
157 mi
Obstetrics & Gynecology
1560 TURF LN
East Lansing, MI 48823
  • Reassigned Medicare billing, Michigan enrollment
  • 113 clinicians in this Medicare group
NPI 1982352357 (517) 484-3000

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA ELIZABETH RODGERS-BIEBUYCK D.O.
Obstetrics & Gynecology
829 N CENTER AVE STE 200
GAYLORD, MI 49735
Otsego County (989) 731-2105

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 Kendra Johnson's NPI number?

The NPI number for Kendra Johnson is 1205060761. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Kendra Johnson located?

Kendra Johnson practices at 829 N Center Ave Ste 200, Gaylord, MI 49735. The listed phone number is (989) 731-2105.

What is Kendra Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kendra Johnson enrolled in Medicare?

Yes. Kendra 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 Kendra Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Johnson reassigns Medicare benefits to 2 organizations: Munson Healthcare Charlevoix Hospital (Charlevoix, MI) and Uwh Of Michigan Plc (East Lansing, MI). 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 Kendra Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kendra Johnson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Kendra 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 Kendra Johnson affiliated with any hospitals?

According to CMS data, Kendra Johnson is affiliated with Mclaren Northern Michigan.

When was this NPI record last updated?

The NPPES record for Kendra Johnson was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.