Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Detroit, MI

  1. Home
  2. Nurse Practitioner
  3. MI
  4. Detroit
Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Detroit, Michigan. Her current practice location is 3000 Gratiot Ave, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 331-3435.

Mrs Tiffany Shandrea Johnson is licensed to practice in Michigan (license number 4704282282) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730572660.

Contact Information

Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC
3000 Gratiot Ave,
Detroit, MI 48207-2372
(313) 331-3435
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tiffany Shandrea Johnson
GenderFemale
SpecialityNurse Practitioner - Family
Location3000 Gratiot Ave, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730572660
  • Provider Enumeration Date: 03/17/2015
  • Last Update Date: 08/11/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2365763950
  • Enrollment ID: I20150720000074

Medical Identifiers

Medical identifiers for Mrs Tiffany Shandrea Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730572660NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704282282 (Michigan)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704282282 (Michigan)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tiffany Shandrea Johnson allows following entities to bill medicare on her behalf.
Entity NameWest Michigan Community Mental Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275646309
PECOS PAC ID: 8426046855
Enrollment ID: O20040920000584
Entity NameTeam Mental Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588855100
PECOS PAC ID: 2264451830
Enrollment ID: O20081030000384
Entity NameAllcare Housecalls Staffing LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134658446
PECOS PAC ID: 7618248311
Enrollment ID: O20170728002214
Entity NameBarlow Professional Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669906988
PECOS PAC ID: 9931538980
Enrollment ID: O20200326002843
Entity NameAllcare Mental Wellness LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558216630
PECOS PAC ID: 4688141112
Enrollment ID: O20260422001081

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tiffany Shandrea Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC
11305 Pierson St,
Detroit, MI 48228-1247

Ph: (248) 798-7820		Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC
3000 Gratiot Ave,
Detroit, MI 48207-2372

Ph: (313) 331-3435

Reviews and Comments


Nurse Practitioner Nurses in Detroit, MI

Catherine Ann Wenz, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16411 Curtis St, Detroit, MI 48235
Phone: 313-838-6822    
Jaina Sabu Samuel,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22101 Moross Rd, Detroit, MI 48236
Phone: 313-343-4000    
Caitlin N Yoder,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 400 Renaissance Ctr Ste 2600, Detroit, MI 48243
Phone: 888-731-8994    
Mikayla William, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Amber Marroquin, NNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 800-653-6568    
Michelle M Wojek, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 400 Renaissance Ctr, Suite 2066, Detroit, MI 48243
Phone: 888-731-8994    
Tiwanna Jeaninne Williams, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12121 Broadstreet Ave, Detroit, MI 48204
Phone: 313-824-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.