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Active NPI 1922338086 Individual Practitioner Female Practitioner

Vickie M Johnson , NURSE PRACTITIONER

Nurse Practitioner • Novi, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Vickie Johnson, NURSE PRACTITIONER is a certified Nurse Practitioner practicing in Novi, MI. With approximately 4 years of clinical experience since completing medical education in 2022, Vickie Johnson delivers high-quality medical care to the local community at 41800 W 11 MILE RD STE 109.

Vickie Johnson maintains professional affiliations with Capeside Psychiatry Pllc, Supportive Psych Care Of Arkansas Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new 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

41800 W 11 Mile Rd Ste 109

Novi, MI 483751818

Telephone 8472759504
Associated Practice Facility / Clinic
🏢 Theoria Medical Facility NPI 1609362375

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Novi, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.4 yrs vs City Avg
City Avg: 9.4 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
32 Specialists

Practicing in Novi, MI (3626 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
37.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (4 Years) 4 Yrs
Novi Specialty Average (9.4 Years) 9.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes
22 21 $110.00 $70.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $135.00 $86.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 13 $75.00 $43.79

Medical Specialties & State Licenses

CMS Verified: 2026-07-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TN 13530

(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 - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License TN 13530

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License NC 5022905

Definition to come...

Hospital & Practice Group Affiliations

Supportive Psych Care Of Arkansas Pa

11503 Rocky Valley Dr, Little Rock, AR 722123035

Phone: 8667081240

Capeside Psychiatry Pllc

311 Judges Rd, Wilmington, NC 284053655

Phone: 9107916767

Secondary Practice Locations

311 Judges Rd Ste 4e

Wilmington, NC 284053655

Phone: 9107916767

102 Elizabeth St Ste D

Jacksonville, NC 285405681

Phone: 9107916767

Practice Associates & Co-Workers

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

35 Associated Practitioners
Denver Moses , NP

Nurse Practitioner - Primary Care

NPI 1003607961

Nurse Practitioner

Lydia Washington , MSN, FNP-C

Nurse Practitioner - Family

NPI 1033545272

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Dr. Garrett Smith , MD

Internal Medicine

NPI 1053519298

Doctor of Medicine (M.D.)

Beatrice Florant Charles , NP

Nurse Practitioner - Family

NPI 1063239267

Nurse Practitioner

Lisa Finley , CNP

Nurse Practitioner - Family

NPI 1063456739

Certified Nurse Practitioner

Juliana Mwose , APRN

Nurse Practitioner

NPI 1134424708

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location July 08, 2026

Registered at 41800 W 11 MILE RD STE 109, NOVI, MI 483751818 (Tel: 8472759504)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2026

Nurse Practitioner (License #13530 in TN)

📍
Updated Practice Location December 19, 2025

Registered at 311 JUDGES RD STE 4E, WILMINGTON, NC 284053655 (Tel: 9107916767)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2025

Nurse Practitioner (License #13530 in TN)

📍
Updated Practice Location January 28, 2025

Registered at 1417 MONROE AVE, MEMPHIS, TN 381043634 (Tel: 9012969400)

📍
Updated Business Mailing Address January 28, 2025

Registered at PO BOX 22403, BELFAST, ME 049154476 (Tel: 8884027256)

NPI Profile Active January 12, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2010

Registered at 3347 BLUEMONT DR, MEMPHIS, TN 381348414 (Tel: 9013846192)

📍
Updated Business Mailing Address January 12, 2010

Registered at 3347 BLUEMONT DRIVE, MEMPHIS, TN 38134 (Tel: 9013846192)

👤
Provider Name / Credentials Updated January 12, 2010

Recorded as VICKIE JOHNSON, NURSE PRACTITIONER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2010

Nurse Practitioner (License #13530 in TN)

🟢
Initial NPI Registration & Enumeration January 12, 2010

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: 1922338086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2010
Last Update: July 08, 2026
Sole Proprietor: No

Mailing Address

Po Box 22403

Belfast, ME 049154476

Phone: 8884027256

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.