MARIESA L JOHNSON PA-C
NPI 1427755859
Physician Assistant in Grosse Pointe, MI

Q: What is Mariesa Johnson's NPI number?

The NPI number for Mariesa Johnson is 1427755859. It was assigned to this individual provider in the NPPES registry on February 15, 2023.

Q: What is Mariesa Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mariesa Johnson was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 February 15, 2023PECOS Enrolled

468 CADIEUX RD, GROSSE POINTE, MI 48230(313) 473-6899(313) 473-1509 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 7, 2024, May 30, 2023, Feb 15, 2023 (3 updates tracked since 2023).

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About Mariesa L Johnson Pa-c NPPES

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

MARIESA L JOHNSON PA-C (NPI 1427755859) is an individual physician assistant in Grosse Pointe, Michigan, licensed in Michigan (5601011569) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lenox.

NPPES Registry Identity

NPI1427755859

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARIESA L JOHNSONCredential: PA-C

Location Address468 CADIEUX RDGrosse Pointe, MI 48230-1507

Mailing Address26901 Beaumont Blvd # 3dSouthfield, MI 48033-3849 · (947) 522-1952 · Fax (947) 522-0307

Phone(313) 473-6899

Fax(313) 473-1509

Sole ProprietorYes

Enumeration DateFebruary 15, 2023

Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration

NPPES CertifiedMarch 7, 2024

✔ NPI 1427755859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601011569

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

468 CADIEUX RD, Grosse Pointe, MI 48230

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Secondary Practice Location 1

Location 136555 26 Mile Rd Ste 1100Lenox, MI 48048-3186 · Phone (947) 523-4010 · Fax (947) 523-4011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, 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 (PECOS)

Mariesa L Johnson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

18 services18 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48230 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

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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.

DR. LUCKI WORD MD

Family Medicine