Andrew Johnson, AGPCNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704278639 Issued in MI

Practice address

25500 Meadowbrook Rd Ste 250
Novi, MI 48375-1883

Phone

(248) 277-3110

NPI assigned

Jun 23, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Avalon Consultants PLLCGroup PAC ID 3072736511, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Medical Team Home health agency, Livonia, MI, CCN 237125
• Michigan Community Vna Home health agency, Bingham Farms, MI, CCN 237016
• Everhome Skilled Home Health Care Home health agency, Plymouth, MI, CCN 237529
• Residential Home Health Home health agency, Troy, MI, CCN 237459
• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrewjohnsonnp@avalonphysicianservices.direct.kno2fy.com

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.

• Avalon Consultants PLLC

  dba Avalon Physician Services

  • Family Medicine Physician
  • Novi, MI
  • NPI 1265859920
  Medicare reassignment Care Compare group NPD

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

• Diamond Home Health Care, Inc

  dba EverHome Skilled Home Health Care

  • Home Health Agency
  • Plymouth, MI
  • NPI 1770529570
  Care Compare affiliation
• Michigan Community Vna, LLC

  dba Michigan Community VNA

  • Home Health Agency
  • Bingham Farms, MI
  • NPI 1699010553
  Care Compare affiliation
• Residential Home Health, LLC

  • Home Health Agency
  • Troy, MI
  • NPI 1992768550
  Care Compare affiliation
• St Joseph Mercy Hospital

  dba Trinity Heath Ann Arbor Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation
• The Medical Team, Inc

  • Home Health Agency
  • Livonia, MI
  • NPI 1750316220
  Care Compare affiliation

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1477904134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751883",
            "telephone_number": "248-277-3110",
            "fax_number": "248-946-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 250",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751883",
            "telephone_number": "248-277-3110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9532 Volga Dr",
            "address_purpose": "LOCATION",
            "city": "Commerce Township",
            "state": "MI",
            "postal_code": "483823666",
            "country_code": "US",
            "telephone_number": "847-644-7353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "AGPCNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704278639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Johnson
• Alexis Johnson
• Allante Johnson, LPC
• Amanda Kay Johnson
• Amber Johnson
• Angela Johnson
• Angela Johnson
• Armani Johnson
• Armoni Johnson
• Ashlee Johnson

• Gerontology Nurse Practitioner in Novi, MI
• Providers in Novi, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.