NPIMap

Individual provider Active NPI

Susan Linn Johnson, CFNP

  • Family Nurse Practitioner
  • West Branch, MI
National Provider Identifier
1912949801
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704176730 Issued in MI
Practice address
611 Court St
West Branch, MI 48661-9390
Phone
(989) 345-7000
Fax
(989) 345-7479
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 14

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

View all 14

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center Tawas 36 clinicians

Practice addresses (Care Compare)

200 Hemlock Rd
Tawas City, MI 48763-2000
Phone (989) 362-3411

5939 N Huron Rd
Mymichigan Family Medicine
Oscoda, MI 48750-9710
Phone (989) 739-1441

700 German St
Tawas City, MI 48763-9349
Phone (989) 362-4170

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Standish, MI, CCN 237151
  • Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100
  • Mymichigan Medical Center West Branch Hospital, West Branch, MI, CCN 230095
  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036
  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Saint Mary'S Standish Community Hospital Hospital, Standish, MI, CCN 231305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000286 MI Practitioner - Nurse Practitioner 1052388469 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Aug 1, 2020 Accepting new patients
Mymichigan Medical Center Tawas CurrentSince Oct 9, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Aug 1, 2020 Accepting new patients
Mymichigan Medical Center Tawas CurrentSince Oct 9, 2024 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Mymichigan Medical Center Tawas Current Accepting new patients
Northern Michigan Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Mymichigan Medical Center Tawas Past Accepting new patients
Woodland Health Care Services PC Emergency Medicine Past Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

5939 N Huron Rd
Oscoda, MI 48750
Phone (989) 739-1147

700 German St
Tawas City, MI 48763
Phone (989) 362-0066

611 Court St
West Branch, MI 48661
Phone (989) 345-1000

2110 S M 76
Ste 6
West Branch, MI 48661
Phone (989) 345-1184

445 S Valley St
West Branch, MI 48661
Phone (989) 345-3600

Interoperability endpoints

  • Direct secure messaging: susan.johnson.1@11016.direct.athenahealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4704176730 MI
Family Nurse Practitioner 363LF0000X 4704176730 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

611 Court St
West Branch, MI 48661-9390

Mailing address

611 Court St
West Branch, MI 48661-9390
Phone (989) 345-7000

Other practice location 1

621 Court St
West Branch, MI 48661-8767
Phone (989) 345-0100

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4624578MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912949801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-345-7000",
            "fax_number": "989-345-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURT ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619390",
            "telephone_number": "989-345-7000",
            "fax_number": "989-345-7479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Court St",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486618767",
            "country_code": "US",
            "telephone_number": "989-345-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSAN",
        "middle_name": "LINN",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4704176730",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704176730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4624578",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

Verify at the official NPI Registry.