Active NPI
Nicole Raeann Johnston, MD
- Family Medicine Physician
- Guttenberg, IA
National Provider Identifier
1457092280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-55495
- Practice address
- 200 Main St
Guttenberg, IA 52052-9108 - Phone
- (563) 252-1121
- Fax
- (563) 252-5547
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Edgewood, IA
- NPI 1831441096
-
- Rural Health Clinic/Center
- Guttenberg, IA
- NPI 1972855286
-
- Medicare Defined Swing Bed Hospital Unit
- Guttenberg, IA
- NPI 1184659153
-
- Rural Health Clinic/Center
- Garnavillo, IA
- NPI 1386996544
-
- Emergency Medicine Physician
- Guttenberg, IA
- NPI 1538337274
-
- Family Medicine Physician
- Guttenberg, IA
- NPI 1710231147
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Strawberry Point, IA
- NPI 1689090326
Hospice
-
- Home Health Agency
- Dubuque, IA
- NPI 1720187560
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guttenberg Municipal Hospital
Practice addresses (Care Compare)
200 Main St
Guttenberg, IA 52052-9108
Phone 56325211211361
Hospital & facility affiliations
- Unitypoint at Home
- St Croix Hospice
- Guttenberg Municipal Hospital
- Mercyone Elkader Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251022003567 | IA | Practitioner - Family Practice | 8022491927 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-55495 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guttenberg Municipal Hospital | Current | Accepting new patients | |
| Guttenberg Municipal Hospital | Current | Accepting new patients | |
| Guttenberg Municipal Hospital | Current | Accepting new patients | |
| Guttenberg Municipal Hospital | Family Medicine | Current | Accepting new patients |
| Guttenberg Municipal Hospital | Past | Accepting new patients | |
| Guttenberg Municipal Hospital | Past | Accepting new patients |
Locations
101 S Washington St
Edgewood, IA 52042
Phone (563) 252-1121
200 Main St
Guttenberg, IA 52052
Phone (563) 252-1121
Interoperability endpoints
- njohnston655414@direct.gundersenhealth.org
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-55495 | IA | Primary |
Addresses
Primary practice location
200 Main St
Guttenberg, IA 52052-9108
Mailing address
200 Main St
Guttenberg, IA 52052-9108
Phone (563) 252-1121
NPI Registry JSON
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1457092280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MAIN ST",
"city": "GUTTENBERG",
"state": "IA",
"postal_code": "520529108",
"telephone_number": "563-252-1121",
"fax_number": "563-252-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MAIN ST",
"city": "GUTTENBERG",
"state": "IA",
"postal_code": "520529108",
"telephone_number": "563-252-1121",
"fax_number": "563-252-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "NICOLE",
"middle_name": "RAEANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "MD-55495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guttenberg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.