MRS. MICHELE DAWN JOHNSON APN
NPI 1407039167
Nurse Practitioner - Adult Health in Rockford, IL
About Mrs. Michele Dawn Johnson Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MICHELE DAWN JOHNSON APN (NPI 1407039167) is an individual adult health provider in Rockford, Illinois, licensed in Illinois (209.006878) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mrs. Michele Dawn Johnson Apn 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michele Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- 67 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Anthony Medical Center
Acute Care Hospitals · Rockford, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Michele Johnson's NPI number?
The NPI number for Michele Johnson is 1407039167. It was assigned to this individual provider in the NPPES registry on December 17, 2007.
Where is Michele Johnson located?
Michele Johnson practices at 3775 N Mulford Rd, Rockford, IL 61114. The listed phone number is (815) 636-6400.
What is Michele Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Michele Johnson enrolled in Medicare?
Yes. Michele 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 Michele Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michele Johnson reassigns Medicare benefits to 2 organizations: Saint Anthony Medical Center (Rockford, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 Michele Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michele Johnson accept?
Health plans from Dean Health Plan list Michele 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 Michele Johnson affiliated with any hospitals?
According to CMS data, Michele Johnson is affiliated with Saint Anthony Medical Center.
When was this NPI record last updated?
The NPPES record for Michele Johnson was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Michele Dawn Johnson, APN · NPI 1407039167
Adult Health physician in Rockford, Illinois. Individual provider, active in the CMS NPPES registry since December 17, 2007.
## Identity
- **NPI:** 1407039167 (Entity type: Individual)
- **Enumerated:** December 17, 2007
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 209.006878 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3775 N MULFORD RD, Rockford, IL 61114-5632
- **Phone:** (815) 636-6400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Saint Anthony Medical Center (NPI 1952356040, Rockford, IL); Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** November 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407039167) · Data from the CMS NPPES public registry.