Sarah Mary Johnson, FNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

970 Issued in MN

Practice address

5200 Douglas Dr N
Crystal, MN 55429-3104

Phone

(763) 400-3628

Fax

(763) 342-4183

NPI assigned

Sep 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Merit-based Incentive Payment System (MIPS)

Final score

87.25 of 100Reported as group

Quality

60.43

Promoting interoperability

83

Improvement activities

40

Cost

79.28

Merit-based Incentive Payment System (MIPS)

Final score

89.23 of 100Reported as group

Quality

80.41

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sarah.johnson@499749571198980.direct.elationemr.com

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

• Lifespark Medical Group, PA

  • Geriatric Medicine (Family Medicine) Physician
  • St Louis Park, MN
  • NPI 1427551746
  Medicare reassignment NPD
• Allina Health System

  • Rheumatology Physician
  • Coon Rapids, MN
  • NPI 1952146516
  NPD (past)

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1063645224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6694 MCKOWN CT",
            "city": "INDEPENDENCE",
            "state": "MN",
            "postal_code": "553592200",
            "telephone_number": "952-240-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DOUGLAS DR N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554293104",
            "telephone_number": "763-400-3628",
            "fax_number": "763-342-4183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Oakdale Ave N",
            "address_purpose": "LOCATION",
            "city": "Robbinsdale",
            "state": "MN",
            "postal_code": "55422",
            "country_code": "US",
            "telephone_number": "763-581-5678",
            "fax_number": "763-581-9341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SARAH",
        "middle_name": "MARY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.johnson@499749571198980.direct.elationemr.com",
            "affiliation": "Y",
            "affiliationName": "Herself Health MN PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5200 Douglas Dr N",
            "city": "Crystal",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554293104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eva Jachymowski
• James J Hess & Scott Endres
• Aliyah Jerome, CNP
• Kalvin Leeland Johnson
• Kiera Shawntay Johnson
• Karon L Jorges
• Joyful Health Services LLC
• Natalie Jane Juell
• Kathryn G Justesen, M.D.
• Njil Kabamba I

• Gerontology Nurse Practitioner in Crystal, MN
• Providers in Crystal, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.