Rebecca J. Johnson, DO
Individual provider Active NPI Family Medicine Physician · Milford, IN
NPI 1477597094 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1477597094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02002877A (IN)
- Practice address
- 201 S Main St
Milford, IN 46542-3004 - Phone
- (574) 658-4142
- Fax
- (574) 658-3160
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Goshen Health System Inc
Practice addresses (Care Compare)
201 S Main St
Milford, IN 46542-3004
Phone (574) 658-4142
Hospital & facility affiliations
- Goshen Home Care and Hospice
- Kosciusko Community Hospital
- Goshen Hospital
- Parkview Whitley Hospital
- Miller'S Merry Manor
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Miller'S Merry Manor |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Aug 11, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050603000954 | IN | Practitioner - Family Practice | 6204879968 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002877A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Health System Inc | Family Medicine | Current |
Accepting new patients |
| Goshen Health System Inc | Current |
Accepting new patients | |
| Warsaw Health System LLC | Past | Accepting new patients |
Locations
2824 Elkhart Rd
Goshen, IN 46526
Phone (574) 534-6752
1150 Lincolnway S
Ligonier, IN 46767
Phone (260) 894-7135
Interoperability endpoints
- rebecca.johnson.1@28785.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02002877A | IN | Yes |
Addresses
Primary practice location
201 S Main St
Milford, IN 46542-3004
Mailing address
201 S Main St
Milford, IN 46542-3004
Phone (574) 658-4142
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200280270 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rebecca.johnson@goshenhealthdirect.com | Health Information Exchange (HIE) |
Other providers in Milford, IN
- Haley Grace Carson
- Rachelle L Crowder
- John M Dick
- Goshen Health System, Inc
- Lylian J Hermann
- Laura Kiefer
- Heather J Lechlitner
- Jessica Mae Martin
- Milford Family Physicians, LLP
- North Central Indiana Medical Clinic LLC
All providers in Milford, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.