Individual provider Active NPI

Kate Johnson

  • Advanced Practice Midwife
  • Burnsville, MN
National Provider Identifier
1427538875
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
369 Issued in MN
Practice address
303 E Nicollet Blvd
Burnsville, MN 55337-4522
Phone
(952) 460-4000
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X
Advanced Practice Midwife 367A00000X 369 MN Primary

Addresses

Primary practice location

303 E Nicollet Blvd
Burnsville, MN 55337-4522

Mailing address

4721 Killarney Dr
Golden Valley, MN 55422-4806
Phone (651) 295-4867

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181106000259 MN Practitioner - Certified Nurse Midwife (CNM) 2860745031 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-7422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Sep 16, 2018 Accepting new patients
Fairview Express Care CurrentSince May 4, 2020 Accepting new patients
University of Minnesota Physicians Current Accepting new patients
University of Minnesota Physicians CurrentSince May 4, 2020 Accepting new patients
University of Minnesota Physicians CurrentSince May 4, 2020 Accepting new patients
Fairview Express Care CurrentSince Sep 16, 2018 Accepting new patients
Fairview Express Care CurrentSince May 4, 2020 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. CurrentSince May 4, 2020 Accepting new patients
Fairview Clinics CurrentSince Sep 16, 2018 Accepting new patients
Fairview Clinics CurrentSince Sep 16, 2018 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince May 4, 2020 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Health Services Current Accepting new patients

Locations

303 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 460-4000

303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

606 24th Ave S
Ste 400
Minneapolis, MN 55454
Phone (612) 273-2223

2450 Riverside Ave
Ste F140
Minneapolis, MN 55454
Phone (651) 464-4847

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Interoperability endpoints

  • Direct secure messaging: kjohnson300412@fairview.direct-ci.com

Organizations & group practices 15

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.

View all 15

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1427538875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 KILLARNEY DR",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224806",
            "telephone_number": "651-295-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E NICOLLET BLVD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374522",
            "telephone_number": "952-460-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.