Active NPI 1801975982 Individual Practitioner Female Practitioner

Mischelle K Johnson , PA-C

Physician Assistant • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mischelle Johnson, PA-C is a certified Physician Assistant practicing in Phoenix, AZ. With approximately 26 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2000, Mischelle Johnson delivers high-quality medical care to the local community at 16515 S. 40TH ST, BLDG 9, SUITE 143.

Mischelle Johnson is affiliated with Athena Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using ultrasound, membrane graft or membrane wrap, per square centimeter, residence visit for established patient with low level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16515 S. 40th St, Bldg 9, Suite 143

Phoenix, AZ 85048

Telephone 4807128319

Fax 4807121305

Associated Practice Facility / Clinic

🏢 Athena Medical Group Facility NPI 1164918124

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +15.9 yrs vs City Avg

City Avg: 10.1 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate

14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

22.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (26 Years) 26 Yrs

Phoenix Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97610 Therapy procedure using ultrasound	622	116	$620.00	$417.88
Q4205 Membrane graft or membrane wrap, per square centimeter	561	19	$1530.78	$1413.38
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	24	20	$130.00	$66.74
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	14	12	$200.00	$112.04
99344 New patient home visit, typically 1 hour	12	12	$280.00	$124.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4259 Celera dual layer or celera dual membrane, per square centimeter	1,211	24	$1018.94	$980.14
Q4205 Membrane graft or membrane wrap, per square centimeter	796	24	$1483.69	$1459.95
97610 Therapy procedure using ultrasound	318	61	$620.00	$413.78
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	98	35	$350.00	$135.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	60	17	$350.00	$62.75
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	53	13	$320.00	$32.61
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	40	23	$130.00	$66.65
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	31	22	$90.00	$38.69
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	29	17	$380.00	$126.03
99306 Initial nursing facility visit, typically 45 minutes per day	19	19	$360.05	$142.98
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	18	11	$200.00	$113.92
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	14	14	$140.00	$68.19
99344 New patient home visit, typically 1 hour	11	11	$280.00	$127.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4178 Floweramniopatch, per square centimeter	1,307	37	$451.72	$450.93
Q4173 Palingen or palingen xplus, per square centimeter	350	16	$450.00	$444.98
97610 Therapy procedure using ultrasound	250	54	$768.60	$378.01
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	139	47	$380.00	$110.05
11000 Removal of inflamed or infected skin, up to 10% of body surface	74	47	$144.39	$32.13
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	74	40	$350.00	$130.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	41	$205.00	$107.25
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	43	32	$150.00	$87.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$380.00	$139.63
99306 Initial nursing facility visit, typically 45 minutes per day	15	15	$380.00	$135.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4178 Floweramniopatch, per square centimeter	2,856	40	$450.00	$450.00
Q4173 Palingen or palingen xplus, per square centimeter	2,624	33	$400.61	$358.91
97610 Therapy procedure using ultrasound	1,218	151	$823.00	$337.05
Q4177 Floweramnioflo, 0.1 cc	1,000	17	$225.00	$225.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	87	$197.47	$108.45
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	273	69	$350.00	$129.91
11000 Removal of inflamed or infected skin, up to 10% of body surface	176	46	$156.60	$27.36
99213 Established patient office or other outpatient visit, typically 15 minutes	70	38	$148.86	$75.55
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	50	21	$390.00	$134.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$380.00	$140.50
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	30	30	$136.06	$88.24
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	29	19	$100.00	$68.43
15852 Dressing change under anesthesia	26	11	$79.00	$24.12
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	23	12	$200.00	$107.33
99496 Transitional care management services for problem of high complexity	22	21	$239.31	$215.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q4173 Palingen or palingen xplus, per square centimeter	8,371	70	$247.77	$246.55
Q4177 Floweramnioflo, 0.1 cc	3,520	49	$225.14	$224.67
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	500	98	$349.80	$127.05
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	103	85	$108.18	$90.41
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	85	21	$390.00	$133.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	61	$139.23	$90.48
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	63	25	$100.00	$69.42
97610 Therapy procedure using ultrasound	62	33	$816.55	$269.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$350.00	$90.19
99337 Established patient assisted living visit, typically 60 minutes	43	21	$246.00	$163.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	28	$202.40	$123.03
99336 Established patient assisted living visit, typically 40 minutes	26	16	$172.00	$113.09
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$108.33	$60.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$380.00	$138.63
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	17	17	$278.00	$184.86
11042 Removal of skin and tissue, 20.0 sq cm or less	14	11	$355.45	$106.03
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	14	13	$75.00	$52.20
99497 Advance care planning, first 30 minutes	11	11	$108.00	$71.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	85	36	$96.18	$69.61
99336 Established patient assisted living visit, typically 40 minutes	76	31	$171.32	$114.09
99285 Emergency department visit for life threatening or functioning severity	50	50	$877.08	$144.43
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	47	45	$75.00	$52.40
99497 Advance care planning, first 30 minutes	34	33	$108.00	$71.66
99284 Emergency department visit with moderate level of medical decision making	29	29	$577.86	$98.63
99496 Transitional care management services for problem of high complexity	28	26	$249.11	$194.08
99337 Established patient assisted living visit, typically 60 minutes	23	15	$246.00	$163.41
99283 Emergency department visit with low level of medical decision making	23	23	$385.09	$51.95
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	22	22	$278.00	$184.97
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$110.00	$59.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$162.00	$91.13
99335 Established patient assisted living visit, typically 25 minutes	17	13	$120.00	$80.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	45	45	$806.00	$144.70
99283 Emergency department visit with low level of medical decision making	36	36	$362.00	$51.07
99284 Emergency department visit with moderate level of medical decision making	28	28	$562.14	$98.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	201	102	$163.79	$108.08
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	192	78	$105.09	$70.69
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	96	49	$75.20	$50.50
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	57	57	$277.01	$186.07
99336 Established patient assisted living visit, typically 40 minutes	23	19	$169.72	$113.42
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	22	17	$292.32	$149.37
99495 Transitional care management services for problem of at least moderate complexity	17	17	$206.17	$136.89
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	15	13	$70.00	$35.37
99337 Established patient assisted living visit, typically 60 minutes	12	11	$244.75	$161.90

Medical Specialties & State Licenses

CMS Verified: 2022-10-31

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Personal Emergency Response Attendant

NUCC Taxonomy Code: 146D00000X

State License AZ 2421

Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

559346 (AZ)

Commercial Insurance / Payer ID License

280764 (AZ)

Commercial Insurance / Payer ID Aanpcb

F08220175 (AZ)

Commercial Insurance / Payer ID License

PA61331068 (WA)

Commercial Insurance / Payer ID License

PA9116211 (FL)

Hospital & Practice Group Affiliations

Athena Medical Group

19803 1st Ave S, Normandy Park, WA 981482410

Phone: 4807128319

Athena Medical Group

7901 4th St N, Saint Petersburg, FL 337024399

Phone: 4807128319

Secondary Practice Locations

5900 Balcones Drive Suite 100

Austin, TX 78731

Phone: 6028882344

401 Ryland St, Suite 200-A

Reno, NV 89502

Phone: 4807128319

5900 Balcones Drive Suite 6954

Austin, TX 78731

Phone: 4807128319

1942 Broadway St, Suite 314c

Boulder, CO 80302

Phone: 4807128319

14780 W. Mountain View Blvd., Suite 110

Surprise, AZ 853747280

Phone: 6233747774

800 5th Avenue, Ste 101-800

Seattle, WA 98104

Phone: 4807128319

7901 4th St N, Ste 300

Saint Petersburg, FL 33702

Phone: 4807128319

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Sanna Neff , FNP-C

Nurse Practitioner - Family

NPI 1083150205

Family Nurse Practitioner (Certified)

Lisa Casazza

Nurse Practitioner

NPI 1306418819

Brittany Bosma , FNP-C

Nurse Practitioner - Family

NPI 1306676432

Family Nurse Practitioner (Certified)

Tara Crosswhite , PA-C

Physician Assistant

NPI 1417815531

Physician Assistant (Certified)

Benjamin Ballard , NP

Nurse Practitioner

NPI 1437029477

Nurse Practitioner

Michelle Raney

Nurse Practitioner - Gerontology

NPI 1558058644

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location November 02, 2022

Registered at 16515 S. 40TH ST, BLDG 9, SUITE 143, PHOENIX, AZ 85048 (Tel: 4807128319)

📍

Updated Business Mailing Address November 02, 2022

Registered at 16515 S. 40TH ST, BLDG 9, SUITE 143, PHOENIX, AZ 85048 (Tel: 4807128319)

📍

Updated Practice Location April 15, 2019

Registered at 3083 S COTTONWOOD CT, CHANDLER, AZ 852862384 (Tel: 4807128319)

📍

Updated Business Mailing Address April 15, 2019

Registered at 3083 S COTTONWOOD CT, CHANDLER, AZ 852862384 (Tel: 4807128319)

👤

Provider Name / Credentials Updated April 15, 2019

Recorded as MISCHELLE JOHNSON, PAC

✅

NPI Profile Active March 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2017

Registered at 14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 853747280 (Tel: 6233747774)

📍

Updated Business Mailing Address March 03, 2017

Registered at 14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 853747280 (Tel: 6233747774)

👤

Provider Name / Credentials Updated March 03, 2017

Recorded as MISCHELLE RUSK, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2017

Personal Emergency Response Attendant (License #2421 in AZ)

✅

NPI Profile Active September 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2015

Registered at 14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 853747280 (Tel: 6233747774)

📍

Updated Business Mailing Address September 10, 2015

Registered at 14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 853747280 (Tel: 6233747774)

👤

Provider Name / Credentials Updated September 10, 2015

Recorded as MISCHELLE RUSK, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2015

Personal Emergency Response Attendant (License #2421 in AZ)

🟢

Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801975982

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 02, 2006

Last Update: November 02, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16515 S. 40th St, Bldg 9, Suite 143

Phoenix, AZ 85048

Phone: 4807128319

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.