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MISS MISCHELLE K JOHNSON PAC
NPI 1801975982
Physician Assistant in Phoenix, AZ

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
16515 S. 40TH ST, BLDG 9, SUITE 143, PHOENIX, AZ 85048(480) 712-8319(480) 712-1305 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2022, Apr 15, 2019, Apr 9, 2019 and 1 more (4 updates tracked since 2017).

About Miss Mischelle K Johnson Pac NPPES

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

MISS MISCHELLE K JOHNSON PAC (NPI 1801975982) is an individual physician assistant in Phoenix, Arizona and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2000).

NPPES Registry Identity

NPI1801975982
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS MISCHELLE K JOHNSONCredential: PAC
Location Address16515 S. 40TH ST, BLDG 9, SUITE 143Phoenix, AZ 85048
Mailing Address16515 S. 40th St, Bldg 9, Suite 143Phoenix, AZ 85048 · (480) 712-8319 · Fax (480) 712-1305
Phone(480) 712-8319
Fax(480) 712-1305
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2000
Enumeration DateNovember 2, 2006
Last NPPES UpdateNovember 2, 20224 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1801975982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPersonal Emergency Response AttendantTaxonomy 146D00000X · License 2421 (AZ)
16515 S. 40TH ST, BLDG 9, SUITE 143, Phoenix, AZ 85048
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Secondary Practice Locations 7

Location 15900 Balcones Drive Suite 100Austin, TX 78731 · Phone (602) 888-2344 · Fax (833) 833-2656
Location 2401 Ryland St, Suite 200-AReno, NV 89502 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 35900 Balcones Drive Suite 6954Austin, TX 78731 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 41942 Broadway St, Suite 314CBoulder, CO 80302 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 514780 W. Mountain View Blvd., Suite 110Surprise, AZ 85374-7280 · Phone (623) 374-7774 · Fax (877) 796-5302
Location 6800 5th Avenue, Ste 101-800Seattle, WA 98104 · Phone (480) 712-8319 · Fax (480) 712-1305
Location 77901 4th St N, Ste 300Saint Petersburg, FL 33702 · Phone (480) 712-8319 · Fax (480) 712-1305

Other Identifiers 5

Other280764AZ · License
OtherF08220175AZ · Aanpcb
Medicaid559346AZ
OtherPA61331068WA · License
OtherPA9116211FL · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, UnitedHealthcare.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

Miss Mischelle K Johnson Pac 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 ID2567487416
PECOS Enrollment IDI20220916002016, I20230712004305
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 5

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.

Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
622 services116 patients
Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
561 services19 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
24 services20 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
14 services12 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85048 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$61.56 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$31.48 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier23 claims23 services$131.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MRS. TERESA MARIE GAITHER FNP
Nurse Practitioner (Family)
16515 S. 40TH ST, BLDG 9, SUITE 143
PHOENIX, AZ 85048
Maricopa County (480) 712-8319

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 Mischelle Johnson's NPI number?

The NPI number for Mischelle Johnson is 1801975982. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Mischelle Johnson located?

Mischelle Johnson practices at 16515 S. 40th St, Bldg 9, Suite 143, Phoenix, AZ 85048. The listed phone number is (480) 712-8319.

What is Mischelle Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mischelle Johnson enrolled in Medicare?

Yes. Mischelle Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mischelle Johnson accept?

Health plans from Providence Health Plan and UnitedHealthcare list Mischelle 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 Mischelle Johnson was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.