DR. FREDERICK A JOHANSEN MD
NPI 1497784706
Pediatrics in Stevensville, MI

Q: What is Frederick Johansen's NPI number?

The NPI number for Frederick Johansen is 1497784706. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Frederick Johansen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since June 30, 2006PECOS Enrolled

5515 CLEVELAND AVE, SUITE 1, STEVENSVILLE, MI 49127(269) 429-6604(269) 429-1715 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Frederick A Johansen Md NPPES

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

DR. FREDERICK A JOHANSEN MD (NPI 1497784706) is an individual pediatrics provider in Stevensville, Michigan, licensed in Michigan (4301038022) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497784706

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. FREDERICK A JOHANSENCredential: MD

Location Address5515 CLEVELAND AVE, SUITE 1Stevensville, MI 49127-9670

Mailing Address5515 Cleveland Ave, Suite 1Stevensville, MI 49127-9670 · (269) 429-6604 · Fax (269) 429-1715

Phone(269) 429-6604

Fax(269) 429-1715

Sole ProprietorNo

Enumeration DateJune 30, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1497784706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301038022

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5515 CLEVELAND AVE, Stevensville, MI 49127

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Other Identifiers 5

Other1013407MI · Cigna

Other3501103141MI · Blue Cross

Other370004513MI · Railroad Medicare

Other12-31141MI · Php

Medicaid2893915MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Frederick A Johansen Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49127 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

STEPHANIE C WELCH PA

Physician Assistant (Medical)

5515 CLEVELAND AVE
STEVENSVILLE, MI 49127

Berrien County (269) 429-6604

MRS. SARAH LEESE PA-C

Physician Assistant

5515 CLEVELAND AVE
STEVENSVILLE, MI 49127

Berrien County (269) 429-4002

DR. HEATHER A MARTEN MD

Pediatrics

5515 CLEVELAND AVE
STEVENSVILLE, MI 49127

Berrien County (269) 429-6604

LAKELAND MEDICAL PRACTICES

Clinic/Center

5515 CLEVELAND AVE, SUITE 5
STEVENSVILLE, MI 49127

Berrien County (269) 429-9644

BETTY KAREN MOORE FNP

Nurse Practitioner (Family)

5515 CLEVELAND AVE
STEVENSVILLE, MI 49127

Berrien County (269) 429-9644

DR. GEORG C SCHULTZ MD

Pediatrics

5515 CLEVELAND AVE
STEVENSVILLE, MI 49127

Berrien County (269) 429-9644

JENNIFER D WILLIAMS MSN, FNP-BC

Nurse Practitioner

5515 CLEVELAND AVE
STEVENSVILLE, MI 49127

Berrien County (269) 429-6604

MRS. BETSY MARIE BECKER NP

Nurse Practitioner

5515 CLEVELAND AVE, SUITE 1
STEVENSVILLE, MI 49127

Berrien County (269) 429-6604

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 Frederick Johansen's NPI number?

The NPI number for Frederick Johansen is 1497784706. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Frederick Johansen located?

Frederick Johansen practices at 5515 Cleveland Ave Suite 1, Stevensville, MI 49127. The listed phone number is (269) 429-6604.

What is Frederick Johansen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Frederick Johansen enrolled in Medicare?

Yes. Frederick Johansen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Frederick Johansen was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.