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Active NPI 1366849069 Individual Practitioner Female Practitioner

Dr. Theresa Johnson , DNP, MS, FNP-BC

Nurse Practitioner • Dearborn, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theresa Johnson, DNP, MS, FNP-BC is a certified Nurse Practitioner practicing in Dearborn, MI. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Johnson delivers high-quality medical care to the local community at 3200 GREENFIELD RD STE 300.

Dr. Johnson is affiliated with Beaumont Medical Group Hospital Based Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3200 Greenfield Rd Ste 300

Dearborn, MI 481201805

Telephone 3133346395
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dearborn, MI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +3.4 yrs vs City Avg
City Avg: 8.6 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
68 Specialists

Practicing in Dearborn, MI (3626 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (12 Years) 12 Yrs
Dearborn Specialty Average (8.6 Years) 8.6 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
28 28 $157.00 $67.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
13 13 $224.00 $100.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
13 13 $432.00 $111.73

Medical Specialties & State Licenses

CMS Verified: 2022-11-04
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704285116

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MI 4704285116

Definition to come...

Hospital & Practice Group Affiliations

Beaumont Medical Group Hospital Based Services

44201 Dequindre Rd Ec, Troy, MI 480851117

Phone: 2489645111

Beaumont Medical Group Hospital Based Services

44201 Dequindre Rd, Troy, MI 480851117

Phone: 2489641187

Beaumont Medical Group Hospital Based Services

28050 Grand River Ave, Farmington Hills, MI 483365919

Phone: 9475218196

Secondary Practice Locations

310 Visger Rd

River Rouge, MI 482181037

Phone: 3139827839

28050 Grand River Ave

Farmington Hills, MI 483365919

Phone: 3136189028

Practice Associates & Co-Workers

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

1 Associated Practitioners
Sandhya Jain

Nurse Practitioner - Primary Care

NPI 1023500972

Career & Practice History Timeline

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

17 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2022

Nurse Practitioner (License #4704285116 in MI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2021

Nurse Practitioner (License #4704285116 in MI)

📍
Updated Practice Location November 18, 2020

Registered at 3200 GREENFIELD RD STE 300, DEARBORN, MI 481201805 (Tel: 3133346395)

📍
Updated Business Mailing Address November 18, 2020

Registered at 17778 VIOLET DR, SOUTHFIELD, MI 480762098 (Tel: 4831822092)

👤
Provider Name / Credentials Updated March 08, 2019

Recorded as THERESA JOHNSON, DNP, MS,FNP-BC

📍
Updated Business Mailing Address December 26, 2018

Registered at 26901 BEAUMONT BLVD, STE. 3D, SOUTHFIELD, MI 480333849 (Tel: 9475221867)

NPI Profile Active January 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2017

Registered at 28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 483365919 (Tel: 2484718889)

📍
Updated Business Mailing Address January 20, 2017

Registered at 130 TOWN CENTER DR STE 203, BEAUMONT MEDICAL STAFF AFFAIRS, TROY, MI 480841744

👤
Provider Name / Credentials Updated January 20, 2017

Recorded as THERESA ROLLINS, MS,FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2017

Nurse Practitioner (License #4704285116 in MI)

NPI Profile Active November 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 24, 2014

Registered at 2561 ELIZABETH LAKE RD, WATERFORD, MI 483283313 (Tel: 2486823300)

📍
Updated Business Mailing Address November 24, 2014

Registered at 2561 ELIZABETH LAKE RD, WATERFORD, MI 483283313 (Tel: 2486823300)

👤
Provider Name / Credentials Updated November 24, 2014

Recorded as THERESA JOHNSON, MS,FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2014

Nurse Practitioner (License #4704285116 in MI)

🟢
Initial NPI Registration & Enumeration November 24, 2014

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: 1366849069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2014
Last Update: November 04, 2022
Sole Proprietor: No

Mailing Address

17778 Violet Dr

Southfield, MI 480762098

Phone: 4831822092

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.