Active NPI
Michelle Frances Johnson, M.D.
- Internal Medicine Physician
- Omaha, NE
National Provider Identifier
1609816016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25796
- Practice address
- 988102 Nebraska Medical Center
Omaha, NE 68198-8102 - Phone
- (402) 596-4411
- Fax
- (402) 596-4510
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 45007 | MN | |
| Internal Medicine Physician | 207R00000X | 25796 | NE | Primary |
Addresses
Primary practice location
988102 Nebraska Medical Center
Omaha, NE 68198-8102
Mailing address
988102 Nebraska Medical Center
Omaha, NE 68198-8102
Phone (402) 596-4411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075083200 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45007 | MN | MD | Internal Medicine Physician |
| 25796 | NE | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients | |
| All Care Health Center | Current | Accepting new patients |
Locations
902 S 6th St
Rm A
Council Bluffs, IA 51501
902 S 6th St
Council Bluffs, IA 51501
Phone (712) 256-6583
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-5600
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
- Community/Retail Pharmacy
- Council Bluffs, IA
- NPI 1124461363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367798400000",
"number": "1609816016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102",
"telephone_number": "402-596-4411",
"fax_number": "402-596-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CENTER",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102",
"telephone_number": "402-596-4411",
"fax_number": "402-596-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MICHELLE",
"middle_name": "FRANCES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2013-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "45007",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "25796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075083200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.