DR. ANNELYSSA NICOLE JOHNSON M.D.
NPI 1609219682
Emergency Medicine in Indianapolis, IN

Q: What is Annelyssa Johnson's NPI number?

The NPI number for Annelyssa Johnson is 1609219682. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Q: What is Annelyssa Johnson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Annelyssa Johnson was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 09, 2013PECOS EnrolledAccepts Medicare Assignment

1701 N SENATE BLVD # AG012, INDIANAPOLIS, IN 46202(317) 962-3525(317) 963-5394 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Annelyssa Nicole Johnson M.d. NPPES

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

DR. ANNELYSSA NICOLE JOHNSON M.D. (NPI 1609219682) is an individual emergency medicine provider in Indianapolis, Indiana, licensed in Colorado (DR.0056541) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of University Of Arizona College Of Medicine (2013).

NPPES Registry Identity

NPI1609219682

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. ANNELYSSA NICOLE JOHNSONCredential: M.D.

Location Address1701 N SENATE BLVD # AG012Indianapolis, IN 46202-1239

Mailing Address1350 W Van Buren St Apt 1071Phoenix, AZ 85007-2575 · (520) 406-0309

Phone(317) 962-3525

Fax(317) 963-5394

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2013

Enumeration DateApril 9, 2013

Last NPPES UpdateNovember 12, 2020

NPPES CertifiedNovember 12, 2020

✔ NPI 1609219682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CO · DR.0056541

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1701 N SENATE BLVD # AG012, Indianapolis, IN 46202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Annelyssa Nicole Johnson M.d. 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.

PECOS PAC ID8729229687

PECOS Enrollment IDI20190121000482, I20220923001970

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 4

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 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.

99 services98 patients

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.

57 services57 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

18 services18 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Reid Health

Acute Care Hospitals · Richmond, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150048

Location1100 Reid PkwyRichmond, IN 47374 · Wayne County

Emergency services Birthing friendly

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160016

Location802 Kenyon RdFort Dodge, IA 50501 · Webster County

Emergency services Birthing friendly

Humboldt County Memorial Hospital

Critical Access Hospitals · Humboldt, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161334

Location1000 North 15th StreetHumboldt, IA 50548 · Humboldt County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

KATHERINE CARLSEN ANDERSON MD

Emergency Medicine