Doctor profile · Federal record
Dr. Beau Johnson, PA
Physician Assistant · Traverse City, MI
- NPI 1699514505
- Accepts Medicare
- 2 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1105 Sixth St
Traverse City, MI 496842345
(231) 935-5000 - Additional location
-
1221 Sixth St Ste 300
Traverse City, MI 496842360
(231) 392-0640 - Mailing address
-
2913 N Ionia RD
Vermontville, MI 490969597
Credentials & registration
- NPI registered
- May 2024 — 2 yrs on file
- Profile last updated
- June 3, 2024
- Year of graduation
- 2024 — 2 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Michigan #5601012454
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699514505. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| MicroVention, INC. | 1 | $29.90 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Beau Johnson's medical specialty?
Dr. Beau Johnson practices Physician Assistant in Traverse City, MI.
Where does Dr. Beau Johnson practice?
Dr. Beau Johnson practices at 1105 Sixth St, Traverse City, MI 496842345. Office phone: 2319355000.
What is Dr. Beau Johnson's NPI?
Dr. Beau Johnson's National Provider Identifier (NPI) is 1699514505, issued by NPPES.
Does Dr. Beau Johnson accept Medicare assignment?
Yes. Dr. Beau Johnson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.