Colleen Nicole Johnson, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

432581 Issued in KS

Practice address

2300 Hutton Rd Ste 106107
Kansas City, KS 66109-4436

Phone

(913) 721-3387

Fax

(816) 875-2598

NPI assigned

Aug 17, 2007

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Tulane University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• Providence Medical Center Hospital, Kansas City, KS, CCN 170146
• Ascentist Hospital LLC Hospital, Leawood, KS, CCN 170194

Merit-based Incentive Payment System (MIPS)

Final score

81.19 of 100Reported as group

Quality

72.61

Promoting interoperability

100

Improvement activities

30

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: colleen.johnson.1@12752.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascentist Physicians Group, LLC

  dba Ascentist Healthcare

  • Otolaryngology Physician
  • Lee's Summit, MO
  • NPI 1649206319

  KS

  Medicare reassignment Care Compare group
• Ascentist Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Harrisonville, MO
  • NPI 1558057661
  NPD (past)
• Old Westport ENT & Allergy, Inc

  • Otolaryngology Physician
  • Kansas City, MO
  • NPI 1790733012
  NPD (past)
• SLN Medical Specialists, LLC

  dba SLN Multi Specialty Clinic

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Kansas City, MO
  • NPI 1720266117
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital, LLC

  dba Ascentist Hospital

  • General Acute Care Hospital
  • Leawood, KS
  • NPI 1871698472
  Care Compare affiliation
• Prime Healthcare Services-Providence, LLC

  dba Providence Medical Center

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1528301900
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  dba AdventHealth Shawnee Mission

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1033301510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HUTTON RD STE 106107",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661094436",
            "telephone_number": "913-721-3387",
            "fax_number": "816-875-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COLLEEN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "432581",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2014028851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "colleen.johnson.1@12752.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Address to receive summary of care documents",
            "address_1": "4880 NE GOODVIEW CIR",
            "address_2": "STE 340",
            "city": "LEES SUMMIT",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640641996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandrea Renea Johnson, APRN, FNP
• Alvin Edward Johnson, B/S CRIMINAL JUSTICE
• Amber Nicole Johnson, FNP
• Anita Johnson
• Anitra Johnson
• Dallas Lee Johnson, MD
• David Britton Johnson, M.D.
• Elizabeth Jane Johnson, MA, CCC-SLP
• Ellie Dorothy Johnson
• Emily Claire Johnson, MD

• Otolaryngology Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Otolaryngology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.