MR. NICHOLAS DAVID JOHNSON PA
NPI 1427558477
Physician Assistant - Medical in Grand Rapids, MI
About Mr. Nicholas David Johnson Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NICHOLAS DAVID JOHNSON PA (NPI 1427558477) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601008568) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Mr. Nicholas David Johnson Pa 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Nicholas Johnson's NPI number?
The NPI number for Nicholas Johnson is 1427558477. It was assigned to this individual provider in the NPPES registry on February 16, 2018.
Where is Nicholas Johnson located?
Nicholas Johnson practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-5000.
What is Nicholas Johnson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Nicholas Johnson enrolled in Medicare?
Yes. Nicholas 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 Nicholas Johnson accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Nicholas 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 Nicholas Johnson affiliated with any hospitals?
According to CMS data, Nicholas Johnson is affiliated with Mercy Health Saint Mary's.
When was this NPI record last updated?
The NPPES record for Nicholas Johnson was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Nicholas David Johnson, PA · NPI 1427558477
Medical physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since February 16, 2018.
## Identity
- **NPI:** 1427558477 (Entity type: Individual)
- **Enumerated:** February 16, 2018
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 5601008568 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 JEFFERSON AVE SE, Grand Rapids, MI 49503-4502
- **Phone:** (616) 685-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 16, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1427558477) · Data from the CMS NPPES public registry.