Skip to content

Colleen Maroney Johnson, M.D.

NPI 1013216308ActiveIndividual· Pediatrics· Kenosha, WI

Pediatrics (M.D.) in Kenosha, Wisconsin, licensed in WI, with an NPI issued in March 2011.

Overview

NPI1013216308
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedMar 25, 2011
Last updated in NPPESApr 20, 2022
Certified by providerApr 20, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X60072-20WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in Kenosha

All Pediatrics providers in Wisconsin →