DR. NICOLE MARIE JOHNSON M.D.
NPI 1710190947
Pediatrics - Pediatric Critical Care Medicine in Cleveland, OH

Active since May 07, 2007PECOS Enrolled
11100 EUCLID AVENUE, CLEVELAND, OH 44106(216) 844-7700 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicole Marie Johnson M.d. NPPES

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

DR. NICOLE MARIE JOHNSON M.D. (NPI 1710190947) is an individual pediatric critical care medicine provider in Cleveland, Ohio, licensed in Ohio (35086941) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710190947
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. NICOLE MARIE JOHNSONCredential: M.D.
Location Address11100 EUCLID AVENUECleveland, OH 44106
Mailing Address24701 Euclid Avenue, 3rd FloorEuclid, OH 44117
Sole ProprietorNo
Enumeration DateMay 7, 2007
Last NPPES UpdateMarch 14, 2012
NPI 1710190947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in OH · 35086941
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License 35-086941 (OH)
11100 EUCLID AVENUE, Cleveland, OH 44106

Other Identifiers 3

Medicaid1026733980001PA
Medicaid2957870OH
Medicare PINH019750OH

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. Nicole Marie Johnson M.d. 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.

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.

Pediatrics (Neonatal-Perinatal Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Pediatrics (Pediatric Critical Care Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Internal Medicine
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Pathology (Clinical Pathology/Laboratory Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Nurse Anesthetist, Certified Registered
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Surgery
11100 EUCLID AVENUE, DEPARTMENT OF SURGERY
CLEVELAND, OH 44106
Psychiatry & Neurology (Neurology)
11100 EUCLID AVENUE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Pediatrics (Pediatric Emergency Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1710190947. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Nicole Johnson located?

Nicole Johnson practices at 11100 Euclid Avenue, Cleveland, OH 44106. The listed phone number is (216) 844-7700.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Nicole Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.