Krista Marie Johnson, CNM, APRN, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

13417 Issued in MN

Practice address

5353 Wayzata Blvd Ste 510
St Louis Park, MN 55416-1340

Phone

(952) 254-3557

Fax

(952) 254-3558

NPI assigned

May 9, 2022

Last updated

Oct 31, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in AK, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nystrom and Associates LTDGroup PAC ID 6406752492, 590 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Certified Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  Medicare reassignment Care Compare group NPD
• Three Birds Healthcare

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1497640684

  Psychiatric/Mental Health

  NPD Authorized official
• Family Support Services Inc.

  dba Sagent Behavioral Health

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1467549220
  NPD (past)
• Willow Midwives LTD

  dba Willow Birth Center

  • Birthing Clinic/Center
  • Minneapolis, MN
  • NPI 1750771143
  NPD (past)
• Willow Midwives LTD

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1801299128
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1033855416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 KIPLING AVE",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164817",
            "telephone_number": "901-343-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 WAYZATA BLVD STE 510",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161340",
            "telephone_number": "952-254-3557",
            "fax_number": "952-254-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CNM, APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "13417",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AK",
            "license": "191560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://clientcarewest.net/Account/LogOn",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "2054 30th Ave",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997017316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://clientcarewest.net/Account/LogOn",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "2054 30th Ave",
            "city": "Fairbanks",
            "state": "AK",
            "country_code": "US",
            "postal_code": "997017316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kania Mae Johnson
• Kara Montgomery Johnson, LMFT, MSE, MED
• Kathryn Anna Johnson, PT
• Kendra Rose Johnson
• Kirsten Kesseboehmer Johnson, M.D.
• Kristin Hokanson Johnson, MD
• Leah Christina Johnson, OTR/L
• Lindsay Legarde Johnson
• Mary Beth Johnson, OTR/L
• Megan Elizabeth Johnson, LICSW

• Psychiatric/Mental Health Nurse Practitioner in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.