MS. ALICE NAOMI JOHNSON NP-C
NPI 1558615419
Nurse Practitioner - Community Health in Detroit, MI

Active since October 31, 2012PECOS Enrolled
6001 W. OUTER DRIVE, SUITE 207, DETROIT, MI 48235(313) 966-2800(313) 966-7797 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Alice Naomi Johnson Np-c NPPES

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

MS. ALICE NAOMI JOHNSON NP-C (NPI 1558615419) is an individual community health provider in Detroit, Michigan, licensed in Michigan (4704218703) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558615419
Entity TypeIndividualFemale
Primary Taxonomy363LC1500X
Provider Legal NameMS. ALICE NAOMI JOHNSONCredential: NP-C
Location Address6001 W. OUTER DRIVE, SUITE 207Detroit, MI 48235
Mailing Address6001 W. Outer Drive, Suite 207Detroit, MI 48235 · (313) 966-2800 · Fax (313) 966-7797
Fax(313) 966-7797
Sole ProprietorNo
Enumeration DateOctober 31, 2012
Last NPPES UpdateJuly 14, 2016
NPI 1558615419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
License Licensed in MI · 4704218703
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 4704218703 (MI)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 4704218703 (MI)
6001 W. OUTER DRIVE, Detroit, MI 48235

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Alice Naomi Johnson Np-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48235 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
6001 W. OUTER DRIVE, SUITE 207
DETROIT, MI 48235

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 Alice Johnson's NPI number?

The NPI number for Alice Johnson is 1558615419. It was assigned to this individual provider in the NPPES registry on October 31, 2012.

Where is Alice Johnson located?

Alice Johnson practices at 6001 W. Outer Drive Suite 207, Detroit, MI 48235. The listed phone number is (313) 966-2800.

What is Alice Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Is Alice Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alice Johnson was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.