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DR. HELENE M JOHNSON MD
NPI 1215966528
General Practice in Niles, MI

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
42 N SAINT JOSEPH AVE, SUITE 200, NILES, MI 49120(269) 687-0808(269) 687-0811 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Helene M Johnson Md NPPES

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

DR. HELENE M JOHNSON MD (NPI 1215966528) is an individual general practice provider in Niles, Michigan, licensed in Michigan (4301030791) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of University Of California, San Francisco School Of Medicine (1971).

NPPES Registry Identity

NPI1215966528
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. HELENE M JOHNSONCredential: MD
Location Address42 N SAINT JOSEPH AVE, SUITE 200Niles, MI 49120-2203
Mailing Address6416 Deans Hill RdBerrien Center, MI 49102-9750 · (269) 471-7741 · Fax (269) 471-1581
Phone(269) 687-0808
Fax(269) 687-0811
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1971
Enumeration DateJune 30, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1215966528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 4301030791
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
42 N SAINT JOSEPH AVE, Niles, MI 49120
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Other Identifiers 3

Other01-31142MI · Php
Other1013408MI · Cigna
Other0101151112MI · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Dr. Helene M Johnson Md 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 ID6406769785
PECOS Enrollment IDI20031204000425
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.

Areas of Expertise CMS Part B claims 2

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
35 services34 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
32 services21 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 300
NILES, MI 49120
Berrien County (269) 687-2910
LAURIE ANN GEE NP
Nurse Practitioner (Obstetrics & Gynecology)
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
ELIZABETH ZECH NP
Nurse Practitioner (Obstetrics & Gynecology)
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
KENNETH WALTER KAUFMANN II M.D.
Obstetrics & Gynecology
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 100
NILES, MI 49120
Berrien County (269) 684-6696
DR. EDWARD DAVID LANIGAN M.D.
Preventive Medicine (Undersea and Hyperbaric Medicine)
42 N SAINT JOSEPH AVE, SUITE 103
NILES, MI 49120
Berrien County (269) 683-8070
LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 101
NILES, MI 49120
Berrien County (269) 687-4673
NITIN CHOWDARY CHILUKURI
Surgery
42 N SAINT JOSEPH AVE
NILES, MI 49120
Berrien County (269) 684-6696

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 Helene Johnson's NPI number?

The NPI number for Helene Johnson is 1215966528. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Helene Johnson located?

Helene Johnson practices at 42 N Saint Joseph Ave Suite 200, Niles, MI 49120. The listed phone number is (269) 687-0808.

What is Helene Johnson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Helene Johnson enrolled in Medicare?

Yes. Helene 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 Helene Johnson accept?

Health plans from Priority Health list Helene 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 Helene Johnson affiliated with any hospitals?

According to CMS data, Helene Johnson is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Helene Johnson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.