BREENA MARIE JOHNSON PA-C
NPI 1982908075
Physician Assistant - Surgical in Petoskey, MI
About Breena Marie Johnson Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREENA MARIE JOHNSON PA-C (NPI 1982908075) is an individual surgical provider in Petoskey, Michigan, licensed in Michigan (5601006233) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Breena Marie 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.
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.
PETOSKEY, MI 49770
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 Breena Johnson's NPI number?
The NPI number for Breena Johnson is 1982908075. It was assigned to this individual provider in the NPPES registry on January 4, 2011.
Where is Breena Johnson located?
Breena Johnson practices at 416 Connable Ave, Petoskey, MI 49770. The listed phone number is (231) 330-4235.
What is Breena Johnson's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Breena Johnson enrolled in Medicare?
Yes. Breena 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 Breena Johnson accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Breena 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 Breena Johnson was last updated on January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Breena Marie Johnson, PA-C · NPI 1982908075
Surgical physician in Petoskey, Michigan. Individual provider, active in the CMS NPPES registry since January 4, 2011.
## Identity
- **NPI:** 1982908075 (Entity type: Individual)
- **Enumerated:** January 4, 2011
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 5601006233 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 416 CONNABLE AVE, Petoskey, MI 49770-2212
- **Phone:** (231) 330-4235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 10, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1982908075) · Data from the CMS NPPES public registry.