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MACKENZIE SUE JOHNSON PA-C
NPI 1942992508
Physician Assistant in Muskegon, MI

Active since May 23, 2023PECOS EnrolledAccepts Medicare Assignment
1670 E SHERMAN BLVD STE 100, MUSKEGON, MI 49444(231) 672-3600(231) 672-3601 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 30, 2023, May 23, 2023 (2 updates tracked since 2023).

About Mackenzie Sue Johnson Pa-c NPPES

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

MACKENZIE SUE JOHNSON PA-C (NPI 1942992508) is an individual physician assistant in Muskegon, Michigan, licensed in Michigan (5315236633) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Grandville.

NPPES Registry Identity

NPI1942992508
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE SUE JOHNSONCredential: PA-C
Location Address1670 E SHERMAN BLVD STE 100Muskegon, MI 49444-1863
Mailing Address1670 E Sherman Blvd Ste 100Muskegon, MI 49444-1863 · (231) 672-3600 · Fax (231) 672-3601
Phone(231) 672-3600
Fax(231) 672-3601
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 23, 2023
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1942992508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5315236633
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.
1670 E SHERMAN BLVD STE 100, Muskegon, MI 49444
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Secondary Practice Location 1

Location 13457 Yellowstone Dr SWGrandville, MI 49418-1966 · Phone (616) 450-8569

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Mackenzie Sue Johnson Pa-c 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 ID1355795741
PECOS Enrollment IDI20231004001772
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 3

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
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.
17 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

MS. MADELYN JEWELL MILES PA-C
Physician Assistant
1670 E SHERMAN BLVD STE 100
MUSKEGON, MI 49444
Muskegon County (231) 672-3600
MR. NEHEMIAH KENNETH KALIL INGRAM FNP
Nurse Practitioner
1670 E SHERMAN BLVD STE 100
MUSKEGON, MI 49444
Muskegon County (231) 672-3600

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 Mackenzie Johnson's NPI number?

The NPI number for Mackenzie Johnson is 1942992508. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Mackenzie Johnson located?

Mackenzie Johnson practices at 1670 E Sherman Blvd Ste 100, Muskegon, MI 49444. The listed phone number is (231) 672-3600.

What is Mackenzie Johnson's specialty?

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

Is Mackenzie Johnson enrolled in Medicare?

Yes. Mackenzie 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 Mackenzie Johnson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mackenzie 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.

Is Mackenzie Johnson affiliated with any hospitals?

According to CMS data, Mackenzie Johnson is affiliated with Spectrum Health and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Mackenzie Johnson was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.