MR. ANDREW JOHNSON AGPCNP
NPI 1477904134
Nurse Practitioner - Gerontology in Novi, MI
About Mr. Andrew Johnson Agpcnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ANDREW JOHNSON AGPCNP (NPI 1477904134) is an individual gerontology provider in Novi, Michigan, licensed in Michigan (4704278639) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Ann Arbor Hospital, and maintains a secondary practice location in Commerce Township.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Andrew Johnson Agpcnp 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 Reassignment
Medicare enrollment records show Andrew Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 11 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 11
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.
Trinity Health Ann Arbor Hospital
Acute Care Hospitals · Ann Arbor, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48375 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
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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NOVI, MI 48375
NOVI, MI 48375
NOVI, MI 48375
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 Andrew Johnson's NPI number?
The NPI number for Andrew Johnson is 1477904134. It was assigned to this individual provider in the NPPES registry on June 23, 2016.
Where is Andrew Johnson located?
Andrew Johnson practices at 25500 Meadowbrook Rd Ste 250, Novi, MI 48375. The listed phone number is (248) 277-3110.
What is Andrew Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Andrew Johnson enrolled in Medicare?
Yes. Andrew 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 organization bills Medicare for Andrew Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Johnson reassigns Medicare benefits to Avalon Consultants PLLC (Novi, MI). The 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 Andrew Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew 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 2 other insurers list Andrew 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 Andrew Johnson affiliated with any hospitals?
According to CMS data, Andrew Johnson is affiliated with Trinity Health Ann Arbor Hospital.
When was this NPI record last updated?
The NPPES record for Andrew Johnson was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Andrew Johnson, AGPCNP · NPI 1477904134
Gerontology physician in Novi, Michigan. Individual provider, active in the CMS NPPES registry since June 23, 2016.
## Identity
- **NPI:** 1477904134 (Entity type: Individual)
- **Enumerated:** June 23, 2016
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 4704278639 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25500 MEADOWBROOK RD STE 250, Novi, MI 48375-1883
- **Phone:** (248) 277-3110
## 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:** Avalon Consultants PLLC (NPI 1265859920, Novi, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 13, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1477904134) · Data from the CMS NPPES public registry.