MRS. TIFFANY SHANDREA JOHNSON FNP-C, PMHNP-BC
NPI 1730572660
Nurse Practitioner - Family in Detroit, MI
About Mrs. Tiffany Shandrea Johnson Fnp-c, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TIFFANY SHANDREA JOHNSON FNP-C, PMHNP-BC (NPI 1730572660) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704282282) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Eastpointe.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Tiffany Shandrea Johnson Fnp-c, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48207
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 Tiffany Johnson's NPI number?
The NPI number for Tiffany Johnson is 1730572660. It was assigned to this individual provider in the NPPES registry on March 17, 2015.
Where is Tiffany Johnson located?
Tiffany Johnson practices at 3000 Gratiot Ave, Detroit, MI 48207. The listed phone number is (313) 331-3435.
What is Tiffany Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tiffany Johnson enrolled in Medicare?
Yes. Tiffany Johnson is registered in the Medicare PECOS enrollment system.
What insurance does Tiffany Johnson accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Tiffany Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tiffany Johnson was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Tiffany Shandrea Johnson, FNP-C, PMHNP-BC · NPI 1730572660
Family physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since March 17, 2015.
## Identity
- **NPI:** 1730572660 (Entity type: Individual)
- **Enumerated:** March 17, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704282282 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3000 GRATIOT AVE, Detroit, MI 48207-2372
- **Phone:** (313) 331-3435
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730572660) · Data from the CMS NPPES public registry.