Individual provider Active NPI

Marleen Cousins Johnson, MD

  • Emergency Medicine Physician
  • Edgewood, KY
National Provider Identifier
1407857386
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36254 Issued in KY
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(859) 301-2250
Fax
(859) 572-2326
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01084525A IN
Emergency Medicine Physician 207P00000X 36254 KY Primary

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

PO Box 18667
Erlanger, KY 41018-0667
Phone (859) 572-3617

Other practice location 1

4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-5441

Other practice location 2

1500 James Simpson Jr Way
Covington, KY 41011-0801
Phone (859) 655-4353

Other practice location 3

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (812) 532-2700

Other practice location 4

85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3618

Other practice location 5

238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 824-8240

Other identifiers 3

IdentifierTypeStateIssuer
200953680MedicaidIN
64030547MedicaidKY
2246671MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100625000778 KY Practitioner - Emergency Medicine 4385775907 Reassigns benefits to 1 organization
I20200914001872 IN Practitioner - Emergency Medicine 4385775907 Reassigns benefits to 2 organizations
I20230622000602 OH Practitioner - Emergency Medicine 4385775907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Washington University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Emergency Physicians PSCGroup PAC ID 8224350939, 83 clinicians

Practice addresses (Care Compare)

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (859) 572-3617

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.9 of 100Reported as group
Quality
91.17
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.13 of 100Reported as group
Quality
89.38
Improvement activities
40
Cost
79.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01084525AINMDEmergency Medicine Physician
36254KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Current Accepting new patients
Compass Emergency Physicians PSC Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Emergency Medicine CurrentSince May 17, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Mar 21, 2023 Accepting new patients
Baptist Health Medical Group, Inc. Emergency Medicine CurrentSince Mar 21, 2023 Accepting new patients
Vanguard Medical Emergency Medicine Past Accepting new patients

Locations

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1407857386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18667",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410180667",
            "telephone_number": "859-572-3617",
            "fax_number": "859-572-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-301-2250",
            "fax_number": "859-572-2326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Houston Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424824",
            "country_code": "US",
            "telephone_number": "859-212-5441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 James Simpson Jr Way",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410110801",
            "country_code": "US",
            "telephone_number": "859-655-4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Wilson Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470252751",
            "country_code": "US",
            "telephone_number": "812-532-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Thomas",
            "state": "KY",
            "postal_code": "410751793",
            "country_code": "US",
            "telephone_number": "859-572-3618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "238 Barnes Rd",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "KY",
            "postal_code": "410979482",
            "country_code": "US",
            "telephone_number": "859-824-8240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARLEEN",
        "middle_name": "COUSINS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2021-07-27",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01084525A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "36254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200953680",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64030547",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2246671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.