1. Home
  2. Directory
  3. Michigan
  4. Detroit
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEFANIE JOHNSON FNP-C
NPI 1639058332
Nurse Practitioner - Family in Detroit, MI

Active since August 28, 2025PECOS Enrolled
400 MACK AVE STE 2, DETROIT, MI 48201(313) 448-9650 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stefanie Johnson Fnp-c NPPES

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

STEFANIE JOHNSON FNP-C (NPI 1639058332) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704243069) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1639058332
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEFANIE JOHNSONCredential: FNP-C
Location Address400 MACK AVE STE 2Detroit, MI 48201-2136
Mailing Address400 Mack AveDetroit, MI 48201-2136
Phone(313) 448-9650
Sole ProprietorYes
Enumeration DateAugust 28, 2025
Last NPPES UpdateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1639058332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704243069
400 MACK AVE STE 2, Detroit, MI 48201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1311 Mack AveDetroit, MI 48201-2466 · Phone (313) 832-0202

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefanie Johnson Fnp-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 48201 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 4

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

DESTINY PHILSON LMSW
Social Worker (Clinical)
400 MACK AVE STE 2
DETROIT, MI 48201
Wayne County (313) 448-9628
UNIVERSITY PHYSICIAN GROUP
Internal Medicine
400 MACK AVE STE 2
DETROIT, MI 48201
Wayne County (313) 448-9006
ROBERT D BROOK MD
Internal Medicine (Hypertension Specialist)
400 MACK AVE STE 2
DETROIT, MI 48201
Wayne County (313) 448-9650
NOREEN FELICE ROSSI MD
Internal Medicine (Nephrology)
400 MACK AVE STE 2
DETROIT, MI 48201
Wayne County (313) 448-9650

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 Stefanie Johnson's NPI number?

The NPI number for Stefanie Johnson is 1639058332. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Stefanie Johnson located?

Stefanie Johnson practices at 400 Mack Ave Ste 2, Detroit, MI 48201. The listed phone number is (313) 448-9650.

What is Stefanie Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stefanie Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stefanie Johnson was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.