Organization Active NPI

Clear Sky Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit Lakes, MN
National Provider Identifier
1053268441
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CLEAR SKY WELLNESS, PLLC
Practice address
1208 Washington Ave Ste a
Detroit Lakes, MN 56501-3906
Phone
(218) 845-3535
Fax
(218) 210-9420
NPI assigned
Mar 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Johanna Christensen, DNP FNP-BC PMHNP-BCNPI 1700617529
Title
Owner
Phone
(218) 845-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1208 Washington Ave Ste a
Detroit Lakes, MN 56501-3906

Mailing address

912 McKinley Ave # 311
Detroit Lakes, MN 56501-3504
Phone (218) 845-3535

Other practice location 1

413 5th Ave NE
Minot, ND 58703-2515
Phone (218) 845-3535

Other practice location 2

27345 County Highway 34
Callaway, MN 56521
Phone (218) 845-3535

Other practice location 3

1696 Haleukana St Unit 2-101
Lihue, HI 96766-9052
Phone (808) 437-7548

Other practice location 4

407 6th St Ste 105
Hawley, MN 56549-4137
Phone (218) 845-3535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260601001913 MN Part B Supplier - Clinic/Group Practice 6204306111 Receives reassigned benefits from 1 practitioner
Practice locations: Detroit Lakes, MN; Callaway, MN

National Provider Directory

National Provider Directory

Locations

1696 Haleukana St
Unit 2-101
Lihue, HI 96766
Phone (808) 437-7548

27345 County Highway 34
Callaway, MN 56521
Phone (218) 845-3535

1208 Washington Ave
Ste A
Detroit Lakes, MN 56501

912 McKinley Ave
Detroit Lakes, MN 56501
Phone (218) 841-8885

413 5th Ave NE
Minot, ND 58703
Phone (218) 845-3535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1053268441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 MCKINLEY AVE # 311",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013504",
            "telephone_number": "218-845-3535",
            "fax_number": "218-210-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 WASHINGTON AVE STE A",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013906",
            "telephone_number": "218-845-3535",
            "fax_number": "218-210-9420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 5th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587032515",
            "country_code": "US",
            "telephone_number": "218-845-3535",
            "fax_number": "218-210-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27345 County Highway 34",
            "address_purpose": "LOCATION",
            "city": "Callaway",
            "state": "MN",
            "postal_code": "56521",
            "country_code": "US",
            "telephone_number": "218-845-3535",
            "fax_number": "218-210-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1696 Haleukana St Unit 2-101",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967669052",
            "country_code": "US",
            "telephone_number": "808-437-7548",
            "fax_number": "218-210-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 6th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Hawley",
            "state": "MN",
            "postal_code": "565494137",
            "country_code": "US",
            "telephone_number": "218-845-3535",
            "fax_number": "218-210-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEAR SKY WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-845-3535",
        "authorized_official_credential": "DNP FNP-BC PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.