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Active NPI 1679546865 Individual Practitioner Female Practitioner

Kimberly Marie Johnson , FNP

Nurse Practitioner • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Kimberly Johnson, FNP is a registered healthcare professional specializing in Nurse Practitioner in Ann Arbor, MI. Practice services are available at 24 FRANK LLOYD WRIGHT DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

24 Frank Lloyd Wright Dr

Ann Arbor, MI 481059484

Telephone 7349986022
Fax 7349989139
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
711 Specialists

Practicing in Ann Arbor, MI (3626 Statewide)

Telehealth Adoption Rate
19.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
57 29 $88.30 $55.60
97597 Removal of tissue from wound, 20.0 sq cm or less
28 12 $96.00 $30.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
15 14 $140.73 $75.55

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704207635

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4830324-10 (MI)
Commercial Insurance / Payer ID Bcbs
5008657390 (MI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Kevin Chung , MD

Plastic Surgery

NPI 1063510881

Doctor of Medicine (M.D.)

Dr. Amir Dehdashtian , MD

Student in an Organized Health Care Education/Training Program

NPI 1093451171

Doctor of Medicine (M.D.)

Connor Mullen

Student in an Organized Health Care Education/Training Program

NPI 1144843434
Jasmine Panton

Student in an Organized Health Care Education/Training Program

NPI 1154175503
Dr. Robert Gilman , MD

Plastic Surgery

NPI 1154398451

Doctor of Medicine (M.D.)

Claire Denecker , PA-C

Physician Assistant

NPI 1164019378

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 25, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2013

Registered at 24 FRANK LLOYD WRIGHT DR, ANN ARBOR, MI 481059484 (Tel: 7349986022)

📍
Updated Business Mailing Address November 25, 2013

Registered at 3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

👤
Provider Name / Credentials Updated November 25, 2013

Recorded as KIMBERLY JOHNSON, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2013

Nurse Practitioner (License #4704207635 in MI)

🟢
Initial NPI Registration & Enumeration February 09, 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: 1679546865
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2006
Last Update: November 25, 2013
Sole Proprietor: No

Mailing Address

3621 South State Street, 700 Kms Place

Ann Arbor, MI 48108

Phone: 7349362047

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.