Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Andrew Johnson, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1477904134

Mr. Andrew Johnson, AGPCNP is a Nurse Practitioner in Novi, Michigan. Qualified in 2016, 10 years ago. Practices with Avalon Consultants PLLC, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
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Practice location Address checks out

25500 Meadowbrook Rd Ste 250
Novi, MI 48375-1883
Phone: (248) 277-3110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9532 Volga Dr, Commerce Township, MI 48382-3666 — (847) 644-7353

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704278639 (MI)

Record details

NPI number1477904134
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedJune 23, 2016
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Avalon Consultants Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Novi