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Deactivated NPI 1962916288 Deactivated / Inactive NPI Female Practitioner

Michelle Brodegard Johns , PA-C

Physician Assistant • Odessa, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michelle Johns has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 22, 2017
NPI Deactivation Date June 22, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Michelle Johns, PA-C was a registered Physician Assistant practicing in Odessa, TX. Throughout an active medical career spanning 4 years, Michelle Johns provided care at the practice location at 520 E 6TH ST until profile deactivation on 2021-06-22.

Historical Medicare Part B clinical services included initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, hospital observation care. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

520 E 6th St

Odessa, TX 797614527

Telephone 4325828000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Odessa, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
53 Specialists

Practicing in Odessa, TX (11140 Statewide)

Telehealth Adoption Rate
7.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.8% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
14 14 $315.00 $145.52

Medical Specialties & State Licenses

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.

Practice Associates & Co-Workers

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

11 Associated Practitioners
Kayla Notley , ACNP

Nurse Practitioner - Acute Care

NPI 1053655233
Ngozi Eluma , FNP-BC

Nurse Practitioner - Family

NPI 1093314528

Family Nurse Practitioner (Board Certified)

Karen Wilkinson , APRN

Nurse Practitioner - Neonatal

NPI 1184875163

Advanced Practice Registered Nurse

Dr. Richard Duke , MD

Orthopaedic Surgery

NPI 1326058868

Doctor of Medicine (M.D.)

Anna Sage , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1427560374

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Bradley Massey , CRNA

Nurse Anesthetist, Certified Registered

NPI 1477183317

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

10 Historical Events
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NPI Profile Deactivated June 22, 2021

Record deactivated on June 22, 2021

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Updated Practice Location March 31, 2020

Registered at 3600 GASTON AVE STE 550, DALLAS, TX 752461905 (Tel: 2148211177)

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Updated Business Mailing Address March 31, 2020

Registered at 1531 INSPIRATION DR APT 2058, DALLAS, TX 752073761 (Tel: 5053531354)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2020

Physician Assistant

NPI Profile Active November 22, 2017

NPI status registered as active in NPPES database

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Updated Practice Location November 22, 2017

Registered at 520 E 6TH ST, ODESSA, TX 797614527 (Tel: 4325828000)

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Updated Business Mailing Address November 22, 2017

Registered at 231 E DAVIS LN, LEHI, UT 840439674 (Tel: 5053531354)

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Provider Name / Credentials Updated November 22, 2017

Recorded as MICHELLE JOHNS, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2017

Physician Assistant

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Initial NPI Registration & Enumeration November 22, 2017

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: 1962916288
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2017
Last Update: November 22, 2017
Deactivation Date: June 22, 2021

Mailing Address

231 E Davis Ln

Lehi, UT 840439674

Phone: 5053531354

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.