Andrea G Johnson, CSPOMM DO MB

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

5101009343 Issued in MI

Practice address

2501 Jolly Rd
Suite 120
Okemos, MI 48864-3676

Phone

(517) 381-0299

Fax

(517) 381-9950

NPI assigned

Sep 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

97.08

Improvement activities

40

Cost

74.32

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Mercy Specialty Services

  • Internal Medicine Physician
  • Muskegon, MI
  • NPI 1629010384

  Neuromusculoskeletal Medicine & Omm

  NPD
• Long Acupuncture, Incorporated

  • Acupuncturist
  • Okemos, MI
  • NPI 1811135148
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1679568174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E SHERMAN BLVD STE 2400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441886",
            "telephone_number": "231-672-6336",
            "fax_number": "231-672-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JOLLY RD",
            "address_2": "SUITE 120",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643676",
            "telephone_number": "517-381-0299",
            "fax_number": "517-381-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "CSPOMM DO MB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101009343",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101009343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gallagher Counseling LLC
• Jjpsychnp Staffing Agency, Inc.
• John D Wenzel DO PLLC
• John F. Strandmark MD PLLC
• Alexandra Johnson
• April Marie Johnson, LMSW
• Haley Jean Johnson
• Jayla Johnson
• Lanny Leo Johnson, M.D.
• Lauren Johnson, MS

• Neuromusculoskeletal Medicine & OMM Physician in Okemos, MI
• Providers in Okemos, MI by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.