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Active NPI 1427755859 Individual Practitioner Female Practitioner

Mariesa L Johnson , PA-C

Physician Assistant • Grosse Pointe, MI

Professional Overview & Biography Verified Profile Summary

Mariesa Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Grosse Pointe, MI. Practice services are available at 468 CADIEUX RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

468 Cadieux Rd

Grosse Pointe, MI 482301507

Telephone 3134736899
Fax 3134731509
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grosse Pointe, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.4 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
36 Specialists

Practicing in Grosse Pointe, MI (7057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.6% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
18 18 $273.00 $105.55
99285 Emergency department visit for life threatening or functioning severity
14 14 $400.00 $153.18

Medical Specialties & State Licenses

CMS Verified: 2024-03-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601011569

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.

Secondary Practice Locations

36555 26 Mile Rd Ste 1100

Lenox, MI 480483186

Phone: 9475234010

Practice Associates & Co-Workers

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

15 Associated Practitioners
Kathleen Ackerman , PA

Physician Assistant

NPI 1033665906

Physician Assistant

Jessica Gould , PA-C

Physician Assistant

NPI 1053076109

Physician Assistant (Certified)

Abigail Miller , PA

Physician Assistant

NPI 1275146284

Physician Assistant

Tifani Stanciu

Physician Assistant

NPI 1326864216
Jayla Hubbard

Physician Assistant

NPI 1386445138
Alexandra Sherwood

Physician Assistant - Medical

NPI 1528884806

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address May 30, 2023

Registered at 26901 BEAUMONT BLVD # 3D, SOUTHFIELD, MI 480333849 (Tel: 9475221952)

NPI Profile Active February 15, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2023

Registered at 468 CADIEUX RD, GROSSE POINTE, MI 482301507 (Tel: 8105809787)

📍
Updated Business Mailing Address February 15, 2023

Registered at 8762 SHORT CUT RD, IRA, MI 480232011 (Tel: 8105809787)

👤
Provider Name / Credentials Updated February 15, 2023

Recorded as MARIESA JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2023

Physician Assistant (License #5601011569 in MI)

🟢
Initial NPI Registration & Enumeration February 15, 2023

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: 1427755859
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2023
Last Update: March 07, 2024
Sole Proprietor: Yes

Mailing Address

26901 Beaumont Blvd # 3d

Southfield, MI 480333849

Phone: 9475221952

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.