Susan L Johnson (NPI# 1912949801, PAC ID# 1052388469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912949801 |
| PAC ID by PECOS | 1052388469 |
| Professional Enrollment ID | I20040915000286 |
| Full Name | Susan L Johnson |
| Organization Legal Name | MCLAREN PRIMARY CARE |
| Address |
2110 S M 76 Suite 6 West Branch MI 48661-8737 |
| Phone Number | 9893451184 |
| Gender | F |
| Credential | NP |
| Medical School | SAGINAW VALLEY MEDICAL COLLEGE - NLG |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850327487 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230041 | MCLAREN BAY REGION |
| 230095 | WEST BRANCH REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 | 9893451184 | MCLAREN PRIMARY CARE |
| 621 Court St, West Branch, MI 48661-8767 | 9893450100 | MCLAREN MEDICAL GROUP |
| Organization Legal Name | MCLAREN PRIMARY CARE |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel L Vanwormer | Nurse Practitioner | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
| Deborah L Richardson | Nurse Practitioner | Mclaren Primary Care | 5170 Rifle River Trl, Alger, MI 48610-9343 |
| Tamyra A Henigan | Nurse Practitioner | Mclaren Primary Care | 558 Lockwood Ln, Mio, MI 48647-9387 |
| Theodore A Bash | Family Medicine | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
| Jessica R Bennett | Nurse Practitioner | Mclaren Primary Care | 2463 S M, 30 West Branch Regional Medical Center, West Branch, MI 48661-9312 |
| Jenny K David | Nurse Practitioner | Mclaren Primary Care | 5170 Rifle River Trl, Alger, MI 48610-9343 |
| Kerri A Stephens | Nurse Practitioner | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
| Kelsie L Passmore | Physician Assistant | Mclaren Primary Care | 558 Lockwood Ln, Mio, MI 48647-9387 |
| Michelle E Vanoosten | Nurse Practitioner | Mclaren Primary Care | 2990 Campbell Rd, Rose City, MI 48654-9724 |
| John P Wilkins | Family Medicine | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
| Street Address |
2110 S M 76 SUITE 6 |
| City | WEST BRANCH |
| State | MI |
| Zip | 48661-8737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zebulon E Heidt | Emergency Medicine | Degara App Pllc | 2110 S M, Suite 76, West Branch, MI 48661-8737 |
| Kerri A Stephens | Nurse Practitioner | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
| John P Wilkins | Family Medicine | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
| Kimberly K Provoast | Physician Assistant | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
| Keri A Hodgins | Nurse Practitioner | Mclaren Primary Care | 2110 S M, 76 Suite 6, West Branch, MI 48661-8737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Drew Marentette | Chiropractic | 110 E Houghton Ave, West Branch, MI 48661-1124 | |
| Ashley Wolosonowich | Nurse Practitioner | Midmichigan Medical Center-west Branch | 335 E Houghton Ave, West Branch, MI 48661-1127 |
| Marilyn E Buckley | Nurse Practitioner | 337 E Houghton Ave, Suite 3, West Branch, MI 48661-1127 | |
| Jose Mari G Jurado | Physical Medicine and Rehabilitation | Midmichigan Medical Center-west Branch | 335 E Houghton Ave, West Branch, MI 48661-1127 |
| Lisa M Warack | Physician Assistant | Midmichigan Medical Center-west Branch | 335 E Houghton Ave, West Branch, MI 48661-1127 |
| Rey A Franco | Cardiovascular Disease (cardiology) | Midmichigan Medical Center West Branch | 335 E Houghton Ave, West Branch, MI 48661-1127 |
| John N Dibella | Interventional Pain Management | 335 E Houghton Ave, West Branch, MI 48661-1127 | |
| Crystal C Wright | Occupational Therapy | 214 W Houghton Ave, Suite 4, West Branch, MI 48661-1220 | |
| Lesley L Lenahan Finkbeiner | Optometry | West Branch Eyecare PC | 304 W Houghton Ave, Po Box 128, West Branch, MI 48661-1222 |
| James A Barnhart | Optometry | West Branch Eyecare PC | 304 W Houghton Ave, Po Box 128, West Branch, MI 48661-1222 |
| Find all physicians in zip 48661 | |||
| City | WEST BRANCH |
| Zip Code | 48661 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST BRANCH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan L Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.