Individual provider Active NPI

Michelle Nicole Johnson, FNP-BC

  • Family Nurse Practitioner
  • Washington, UT
National Provider Identifier
1538936745
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6483184-4405 Issued in UT
Practice address
390 W Washington Palms Way
Washington, UT 84780-8362
Phone
(435) 313-3910
Fax
(908) 742-3934
NPI assigned
Dec 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 6483184-4405 UT Primary

Addresses

Primary practice location

390 W Washington Palms Way
Washington, UT 84780-8362

Mailing address

390 W Washington Palms Way
Washington, UT 84780-8362
Phone (435) 313-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AZ, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240117000774 UT Practitioner - Nurse Practitioner 9931551884 Reassigns benefits to 4 organizations
I20240619001377 AZ Practitioner - Nurse Practitioner 9931551884 Reassigns benefits to 3 organizations
I20260216001425 OR Practitioner - Nurse Practitioner 9931551884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitalcare Health Services PCGroup PAC ID 2264961861, 46 clinicians
Canyon Healthcare IncGroup PAC ID 8123368925, 11 clinicians

Practice addresses (Care Compare)

Scottsdale, AZ 85260
Phone (844) 210-6186

1916 N 700
Suite 110
Layton, UT 84041-5754
Phone (801) 444-0221

375 E 5350
Ogden, UT 84405-6934
Phone (844) 210-6186

6800 SW 105TH Ave
Suite 206
Beaverton, OR 97008-5487
Phone (503) 430-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6483184-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Indigo Healthcare LLC CurrentSince May 1, 2024 Accepting new patients
Signify Health, LLC CurrentSince Nov 11, 2025 Accepting new patients
Vitalcare Health Services PC CurrentSince Oct 21, 2025 Accepting new patients
Premier Health Network LLC CurrentSince Feb 1, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 31, 2025 Accepting new patients
Canyon Healthcare, Inc. CurrentSince Dec 7, 2023 Accepting new patients
Vitalcare Medical Services PA PastSince Aug 25, 2025 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

1990 McCulloch Blvd N
Ste 109
Lake Havasu City, AZ 86403
Phone (928) 505-6473

9494 E Becker Ln
Scottsdale, AZ 85260
Phone (480) 331-7702

402 Summit Ave
Lewistown, MT 59457
Phone (406) 538-8775

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008

780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

81 N 100 E
Hurricane, UT 84737
Phone (480) 388-7585

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

2750 N Digital Dr
Lehi, UT 84043
Phone (385) 374-5600

1001 N 500 W
Provo, UT 84604
Phone (505) 320-9952

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

1173 S 250 W
Ste 402
St George, UT 84770
Phone (435) 215-4868

375 E 5350 S
Washington Terrace, UT 84405
Phone (801) 479-5700

Organizations & group practices 7

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": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1538936745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 W WASHINGTON PALMS WAY",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808362",
            "telephone_number": "435-313-3910",
            "fax_number": "908-742-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 W WASHINGTON PALMS WAY",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847808362",
            "telephone_number": "435-313-3910",
            "fax_number": "908-742-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHELLE",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6483184-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, UT

Sources for this page

Verify at the official NPI Registry.