MR. NICHOLAS DAVID JOHNSON PA
NPI 1427558477
Physician Assistant - Medical in Grand Rapids, MI

NPI Status: Active since February 16, 2018

Contact Information

200 JEFFERSON AVE SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-5000

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  • Individual
  • Male
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • PECOS Enrolled

About NICHOLAS JOHNSON

This page provides the complete NPI Profile along with additional information for Nicholas Johnson, a primary care provider established in Grand Rapids, Michigan with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1427558477 assigned on February 2018. The practitioner's primary taxonomy code is 363AM0700X with license number 5601008568 (MI). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1427558477
Provider Name
MR. NICHOLAS DAVID JOHNSON PA
Gender
Male
Entity Type
Individual
Location Address
200 JEFFERSON AVE SE GRAND RAPIDS, MI 49503
Location Phone
(616) 685-5000
Mailing Address
1900 44TH ST SE KENTWOOD, MI 49508
Is Sole Proprietor?
No
Enumeration Date
02-16-2018
Last Update Date
02-16-2018
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A primary care provider (PCP) like Nicholas Johnson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601008568
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic Standard - EPO
  • Gold Elite Saver Plus - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Nicholas Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MR. NICHOLAS DAVID JOHNSON PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427558477, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 1 + 0 + 5 + 1 + 6 + 4 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1427558477.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Pharmacotherapy)
200 JEFFERSON AVE SE, ADVANTAGE HEALTH PHYSICIANS AND ST. MARY'S HEALTH CARE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Physician Assistant (Medical)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine (Emergency Medical Services)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Pharmacist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Pharmacist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Registered Nurse (Emergency)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Family Medicine (Geriatric Medicine)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Physician Assistant
200 JEFFERSON AVE SE, 6 SOUTH #626
GRAND RAPIDS, MI 49503
Internal Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Internal Medicine (Geriatric Medicine)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Physician Assistant
200 JEFFERSON AVE SE, 6 SOUTH #626
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427558477, enumerated as an "individual" on February 16, 2018.

The provider is located at 200 JEFFERSON AVE SE GRAND RAPIDS, MI 49503 and the phone number is (616) 685-5000.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.