IndividualActiveAccepts Medicare

Kenneth Johnson, M.D.

NPI 1366486458 · Emergency Medicine Physician · Green Bay, WI

Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1366486458
Entity type: Individual
Primary specialty: Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 036-078597 (IL)

Specialties & taxonomies

Emergency Medicine PhysicianPrimary207P00000XLicense 53595-020 (WI)
Allopathic & Osteopathic Physicians
Emergency Medicine Physician207P00000XLicense 036-078597 (IL)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(100/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure33% of score
20 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
6 documented practice locations
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$37 across 2 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Practice location

1726 Shawano Ave

Green Bay, WI 54303-3216

Phone: (414) 290-6720

Fax: (414) 290-6755

Street-level locationGet directions

More WI providers

Mailing address

111 E Wisconsin Ave

Milwaukee, WI 53202-4815

Additional practice locations (5)

2661 County Highway I
Chippewa Falls, WI 54729-5407
Phone: (414) 290-6720
Fax: (414) 290-6755
900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone: (414) 290-6720
Fax: (414) 290-6755
835 S Van Buren St
Green Bay, WI 54301-3526
Phone: (414) 290-6720
Fax: (414) 290-6755
3100 Superior Ave
Sheboygan, WI 53081-1948
Phone: (414) 290-6720
Fax: (414) 290-6755
323 S 18th Ave
Sturgeon Bay, WI 54235-1401
Phone: (414) 290-6720
Fax: (414) 290-6755

Enumerated: 2006-06-16
Last updated: 2021-12-20
Certified: 2021-12-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.