DR. KRISTEN JOHANNESSEN DO
NPI 1619369410
Emergency Medicine in Trenton, MI

Q: What is Kristen Johannessen's NPI number?

The NPI number for Kristen Johannessen is 1619369410. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Q: What is Kristen Johannessen's specialty?

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

Active since March 03, 2015PECOS Enrolled

94.88/100

CMS Quality Rating

5450 FORT ST, TRENTON, MI 48183(734) 671-3297 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 25, 2017 and 2 more (5 updates tracked since 2017).

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About Dr. Kristen Johannessen Do NPPES

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

DR. KRISTEN JOHANNESSEN DO (NPI 1619369410) is an individual emergency medicine provider in Trenton, Michigan, licensed in Michigan (5101023617) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1619369410

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameDR. KRISTEN JOHANNESSENCredential: DO

Location Address5450 FORT STTrenton, MI 48183-4601

Mailing Address400 Gettysburg Rd Unit 103Canton, MI 48187-6713 · (707) 315-0987

Phone(734) 671-3297

Sole ProprietorYes

Enumeration DateMarch 3, 2015

Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration

✔ NPI 1619369410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 5101023617

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.

5450 FORT ST, Trenton, MI 48183

Open in Google Maps ↗

Secondary Practice Location 1

Location 11527 Hidden Creek Circle Dr NE Apt HGrand Rapids, MI 49505-5484 · Phone (707) 315-0987

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristen Johannessen Do 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

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

Williamsburg Emergency Physicians

477 mi

Emergency Care

400 SENTARA CIR
Williamsburg, VA 23188

Reassigned Medicare billing, Virginia enrollment
35 clinicians in this Medicare group

NPI 1942585310 (757) 941-6000

North Lincoln County Hospital District

1,412 mi

Family Medicine

901 ADAMS
Afton, WY 83110

Reassigned Medicare billing, Wyoming enrollment
Also billed through NPI 1255376406 (Wyoming)
112 clinicians in this Medicare group

NPI 1730132523 (307) 885-5800

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 6

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.

419 services401 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

264 services238 patients

Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.

152 services149 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.

111 services107 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.

50 services49 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48183 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

98.58

Improvement Activities

Cost

85.55

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.

PAUL RICHARD EMMONS III CRNA

Nurse Anesthetist, Certified Registered