THERESA JOHNSON DNP, MS,FNP-BC
NPI 1366849069
Nurse Practitioner in Dearborn, MI

Q: What is Theresa Johnson's NPI number?

The NPI number for Theresa Johnson is 1366849069. It was assigned to this individual provider in the NPPES registry on November 24, 2014. The provider is also known as Theresa Johnson Theresa Johnson, Np.

Q: What is Theresa 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 Theresa Johnson was last updated on November 4, 2022. 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.

Active since November 24, 2014PECOS Enrolled

3200 GREENFIELD RD STE 300, DEARBORN, MI 48120(313) 334-6395 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2022, Feb 3, 2022, Jun 24, 2021 and 5 more (8 updates tracked since 2017).

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About Theresa Johnson Dnp, Ms,fnp-bc NPPES

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

THERESA JOHNSON DNP, MS,FNP-BC (NPI 1366849069) is an individual nurse practitioner in Dearborn, Michigan, licensed in Michigan (4704285116) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Farmington Hills, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1366849069

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTHERESA JOHNSONCredential: DNP, MS,FNP-BC

Location Address3200 GREENFIELD RD STE 300Dearborn, MI 48120-1805

Mailing Address17778 Violet DrSouthfield, MI 48076-2098 · (483) 182-2092

Phone(313) 334-6395

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateNovember 24, 2014

Last NPPES UpdateNovember 4, 20228 updates tracked since enumeration

NPPES CertifiedNovember 4, 2022

✔ NPI 1366849069 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 MI · 4704285116

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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704285116 (MI)

3200 GREENFIELD RD STE 300, Dearborn, MI 48120

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Other Names 1

Other Name (5)Theresa Johnson Theresa Johnson, Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Johnson Dnp, Ms,fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466756085

PECOS Enrollment IDI20160202001402

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

28 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230151

Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48120 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

B & B SENIOR SERVICES OF MI LLC

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