Active NPI
Sherry A Johnson, C-FNP, CNS
- Nurse Practitioner
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R108737-8
- Practice address
- 1001 E Superior St
Ste, L201
Duluth, MN 55802-2207 - Phone
- (218) 249-7990
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R108737-8 | MN | Primary |
Addresses
Primary practice location
1001 E Superior St
Ste, L201
Duluth, MN 55802-2207
Mailing address
1001 E Superior St
Ste, L201
Duluth, MN 55802-2207
Phone (218) 249-7990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 923108100 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | him@slk.direct.slhduluth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- St. Luke'S Hospital of Duluth
Practice addresses (Care Compare)
1000 E 1St St
Duluth, MN 55805-2297
1011 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7000
1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-7860
109 N 28TH St E
Superior, WI 54880-6548
Phone (715) 395-3900
915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5439
Hospital & facility affiliations
- St Lukes Hospital
- Community Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R108737-8 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Current | Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1001 E Superior St
Ste L201
Duluth, MN 55802
Phone (218) 249-3057
1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860
26 E Superior St
Ste 205
Duluth, MN 55802
Phone (218) 249-4300
915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352
1001 E Superior St
Ste L401
Duluth, MN 55802
Phone (218) 249-7960
619 W Central Entrance
Duluth, MN 55811
Phone (218) 249-4987
109 N 28th St E
Superior, WI 54880
Phone (715) 395-3900
3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457
Interoperability endpoints
- sjohnson237464@direct.aspirus.org
Organizations & group practices 6
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.
-
- Rehabilitation Hospital Unit
- Duluth, MN
- NPI 1902845068
-
- General Acute Care Hospital
- Superior, WI
- NPI 1629017793
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Duluth, MN
- NPI 1073480968
-
- Occupational Medicine Physician
- Duluth, MN
- NPI 1639123334
-
- Family Medicine Physician
- Superior, WI
- NPI 1528010667
-
- Family Medicine Physician
- Duluth, MN
- NPI 1306870654
Hospital & facility affiliations 27
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Cloquet, MN
- NPI 1003869082
-
- Endocrinology, Diabetes & Metabolism Physician
- Duluth, MN
- NPI 1093769796
Hospital
-
- Vascular & Interventional Radiology Physician
- Duluth, MN
- NPI 1124732110
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1154371789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E SUPERIOR ST",
"address_2": "STE, L201",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022207",
"telephone_number": "218-249-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E SUPERIOR ST",
"address_2": "STE, L201",
"city": "DULUTH",
"state": "MN",
"postal_code": "558022207",
"telephone_number": "218-249-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "SHERRY",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "C-FNP, CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R108737-8",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "923108100",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@slk.direct.slhduluth.com",
"affiliation": "N",
"address_1": "1001 E Superior St",
"address_2": "Ste, L201",
"city": "Duluth",
"state": "MN",
"country_code": "US",
"postal_code": "558022207",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.