Individual provider Active NPI

Sarah Elizabeth Johnson, NP

  • Family Nurse Practitioner
  • Evart, MI
National Provider Identifier
1245988294
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704280852 Issued in MI
Practice address
5991 95TH Ave
Evart, MI 49631-9386
Phone
(231) 832-8700
NPI assigned
Mar 17, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 4704280852 MI Primary

Addresses

Primary practice location

5991 95TH Ave
Evart, MI 49631-9386

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sjohnson660090@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

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
I20220801001391 MI Practitioner - Nurse Practitioner 5799167227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mecosta County Medical CenterGroup PAC ID 1951215540, 53 clinicians
Reed City Hospital CorporationGroup PAC ID 6406740695, 32 clinicians

Practice addresses (Care Compare)

14755 215TH Ave
Big Rapids, MI 49307-9224
Phone (231) 796-3200

300 N Patterson Rd
Corewell Health Reed City Hospital
Reed City, MI 49677-8041
Phone (231) 832-7170

4499 220TH Ave
Reed City, MI 49677-8593
Phone (231) 832-5817

5991 95TH Ave
Evart, MI 49631-9386
Phone (231) 832-8700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mecosta County Medical Center CurrentSince Sep 19, 2022 Accepting new patients
Mecosta County Medical Center Nurse Practitioner CurrentSince Sep 19, 2022 Accepting new patients
Reed City Hospital Corporation CurrentSince Sep 19, 2022 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Reed City Hospital Corporation CurrentSince Sep 19, 2022 Accepting new patients
Mecosta County Medical Center Past Accepting new patients

Locations

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

5991 95th Ave
Evart, MI 49631
Phone (231) 734-5561

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

8354 100th Ave
Ste 1
Stanwood, MI 49346
Phone (231) 972-6000

Interoperability endpoints

  • Direct secure messaging: sjohnson660090@epic00.corewelldirect.org
  • Direct secure messaging: sjohnson660090@epic00.shdirect.org

Organizations & group practices 6

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 4

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1245988294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 95TH AVE",
            "city": "EVART",
            "state": "MI",
            "postal_code": "496319386",
            "telephone_number": "231-832-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704280852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjohnson660090@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "5991 95th Ave",
            "city": "Evart",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496319386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "5991 95th Ave",
            "city": "Evart",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496319386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evart, MI

Sources for this page

Verify at the official NPI Registry.