MS. DEQUANNA JOHNSON FNP
NPI 1457714974
Nurse Practitioner - Family in Detroit, MI

Active since April 01, 2016PECOS Enrolled
10 PETERBORO ST, DETROIT, MI 48201(313) 649-4954(313) 309-1090 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2026, Jun 10, 2024, Apr 16, 2024 and 1 more (4 updates tracked since 2016).

About Ms. Dequanna Johnson Fnp NPPES

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

MS. DEQUANNA JOHNSON FNP (NPI 1457714974) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704281939) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457714974
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DEQUANNA JOHNSONCredential: FNP
Location Address10 PETERBORO STDetroit, MI 48201-2722
Mailing Address10 Peterboro StDetroit, MI 48201-2722 · (313) 831-3160 · Fax (313) 309-1090
Fax(313) 309-1090
Sole ProprietorNo
Enumeration DateApril 1, 2016
Last NPPES UpdateMay 13, 20264 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1457714974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704281939
10 PETERBORO ST, Detroit, MI 48201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Dequanna Johnson Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dequanna Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
10 PETERBORO ST
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 34 clinicians in this Medicare group
Internal Medicine
400 MACK AVE STE 2
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 731 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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.

Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Psychologist (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Case Manager/Care Coordinator
10 PETERBORO ST
DETROIT, MI 48201

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 Dequanna Johnson's NPI number?

The NPI number for Dequanna Johnson is 1457714974. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Dequanna Johnson located?

Dequanna Johnson practices at 10 Peterboro St, Detroit, MI 48201. The listed phone number is (313) 649-4954.

What is Dequanna Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dequanna Johnson enrolled in Medicare?

Yes. Dequanna Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dequanna Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dequanna Johnson reassigns Medicare benefits to 2 organizations: Detroit Central City Community Mental Health Inc. (Detroit, MI) and University Physician Group (Detroit, MI). 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 Dequanna Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dequanna Johnson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Dequanna 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.

When was this NPI record last updated?

The NPPES record for Dequanna Johnson was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.