Anna Johanson, MD
Individual provider Active NPI Family Medicine Physician · Winter Park, CO
NPI 1124466016 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1124466016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0005213 (CO)
- Practice address
- 78878 US Highway 40 Winter Park, Co 80482
Winter Park, CO 80482 - Phone
- (970) 812-8765
- Fax
- (970) 788-7518
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Colorado School of Medicine, Denver, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kremmling Memorial Hospital District
Practice addresses (Care Compare)
1000 Granby Park Dr S
Granby, CO 80446-5304
Phone (970) 724-3442
Hospital & facility affiliations
- Middle Park Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171011000084 | CO | Practitioner - Family Practice | 9436399359 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005213 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kremmling Memorial Hospital District | Current |
Accepting new patients | |
| Wheat Ridge Family Physicians LLC | Family Medicine | Current |
Accepting new patients |
| Alpine Sun Family Medicine | Current |
Accepting new patients | |
| Kremmling Memorial Hospital District | Current |
Accepting new patients |
Locations
4500 W 38th Ave
Ste 220
Denver, CO 80212
Phone (303) 218-7754
1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771
Interoperability endpoints
- anna.johanson.1@31867.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0005213 | CO | Yes |
Addresses
Primary practice location
78878 US Highway 40 Winter Park, Co 80482
Winter Park, CO 80482
Mailing address
PO Box 1213
Tabernash, CO 80478-0207
Phone (720) 284-2814
Other providers in Winter Park, CO
- Hannah Marie Foley
- Catherine Connell Hankla
- Cindy Harrison
- Innovative Eye Care LLC
- Jessica R Stern MD LLC
- James Gray Kennedy
- Keysdentalco., PLLC WP
- Jessica Luree Klabak
- Kremmling Memorial Hospital District
- Luna Counseling, LLC
All providers in Winter Park, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.