Individual provider Active NPI

Hannah Jane Johnson, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Morris, MN
National Provider Identifier
1396311155
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8213 Issued in MN
Practice address
400 E 1St St
Morris, MN 56267-1408
Phone
(320) 589-1313
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8213 MN Primary

Addresses

Primary practice location

400 E 1St St
Morris, MN 56267-1408

Mailing address

55498 270TH St
Alberta, MN 56207-4613
Phone (320) 349-0696

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210707001079 MN Practitioner - Nurse Practitioner 9234531765 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graceville Health CenterGroup PAC ID 4385556885, 5 clinicians

Practice addresses (Care Compare)

115 W 2ND St
Graceville, MN 56240-4845
Phone (320) 748-7223

116 W 2ND St
Graceville, MN 56240-4845
Phone (320) 748-7261

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8213MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Community Medical Center Inc. CurrentSince Aug 1, 2021 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Aug 1, 2021 Accepting new patients
St. Marys Regional Health Center CurrentSince May 15, 2022 Accepting new patients
Graceville Health Center CurrentSince Feb 28, 2022 Accepting new patients
St Mary's Regional Health Center CurrentSince May 15, 2022 Accepting new patients
Graceville Health Center Current Accepting new patients
Ortonville Area Health Services Past Accepting new patients

Locations

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

501 Poler St
Starbuck, MN 56381
Phone (320) 239-3939

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1396311155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55498 270TH ST",
            "city": "ALBERTA",
            "state": "MN",
            "postal_code": "562074613",
            "telephone_number": "320-349-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HANNAH",
        "middle_name": "JANE",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "8213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, MN

Sources for this page

Verify at the official NPI Registry.