Individual provider Active NPI

Judean Johnson-Morgan, D.O.

  • Family Medicine Physician
  • Battle Creek, MI
National Provider Identifier
1962718601
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101020686 Issued in MI
Practice address
14231 Beadle Lake Rd
Battle Creek, MI 49014-8213
Phone
(269) 962-0441
NPI assigned
Aug 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101020686 MI Primary

Addresses

Primary practice location

14231 Beadle Lake Rd
Battle Creek, MI 49014-8213

Mailing address

181 Emmett St W
Battle Creek, MI 49037-2963
Phone (269) 965-8866

Other practice location 1

181 Emmett St W
Battle Creek, MI 49037-2963
Phone (269) 965-8866

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130816000747 MI Practitioner - Family Practice 3173765310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Family Medicine CurrentSince Jan 11, 2022 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Jan 11, 2022 Accepting new patients
Mochi Medical Ca PC Past Accepting new patients

Locations

115 Market Pl
Albion, MI 49224
Phone (269) 965-8866

14231 Beadle Lake Rd
Battle Creek, MI 49014
Phone (269) 704-5180

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1962718601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 EMMETT ST W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490372963",
            "telephone_number": "269-965-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 BEADLE LAKE RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148213",
            "telephone_number": "269-962-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "181 Emmett St W",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490372963",
            "country_code": "US",
            "telephone_number": "269-965-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON-MORGAN",
        "first_name": "JUDEAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.