Individual provider Active NPI

Elizabeth Johnson, NP

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1215798533
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704317748 Issued in MI
Practice address
3400 N Center Rd Ste 200
Saginaw, MI 48603-7920
Phone
(989) 792-1494
Fax
(989) 249-9941
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704317748 MI Primary

Addresses

Primary practice location

3400 N Center Rd Ste 200
Saginaw, MI 48603-7920

Mailing address

3201 Foss Dr
Saginaw, MI 48603-1710
Phone (989) 745-8088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227004545 MI Practitioner - Nurse Practitioner 9931544145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew M Lafleur MD PLCGroup PAC ID 8628203759, 3 clinicians

Practice addresses (Care Compare)

3400 N Ctr Rd
Suite 200
Saginaw, MI 48603-7920
Phone (989) 792-1494

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew M Lafleur MD PLC CurrentSince Jan 29, 2024 Accepting new patients

Locations

3400 N Center Rd
Ste 200
Saginaw, MI 48603
Phone (989) 792-1494

Interoperability endpoints

  • Direct secure messaging: ejohnson158832@direct.covenanthealthcare.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1215798533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 FOSS DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486031710",
            "telephone_number": "989-745-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 N CENTER RD STE 200",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037920",
            "telephone_number": "989-792-1494",
            "fax_number": "989-249-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704317748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.