Active NPI
Anna Elizabeth Johansen, FNP
- Primary Care Nurse Practitioner
- Olivia, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 9836
- Practice address
- 100 Healthy Way
Olivia, MN 56277-1117 - Phone
- (900) 916-1836
- NPI assigned
- Dec 23, 2022
- Last updated
- Dec 23, 2022
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 9836 | MN | Primary |
Addresses
Primary practice location
100 Healthy Way
Olivia, MN 56277-1117
Mailing address
1597 290TH Ave
Garvin, MN 56132-1240
Phone (507) 829-9295
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rchospital.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1216 Ryans Rd
Suite 3
Worthington, MN 56187-1781
Phone (507) 372-6522
1521 Carlson St
Suite 100
Marshall, MN 56258-2626
Phone (507) 473-4800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9836 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Care, Inc | Current | Accepting new patients | |
| Healthpartners RC | Current | Accepting new patients | |
| Healthpartners RC | Current | Accepting new patients | |
| Rural Health Care, Inc | Current | Accepting new patients | |
| Rural Health Care, Inc. | Past | Accepting new patients |
Locations
1521 Carlson St
Ste 100
Marshall, MN 56258
Phone (507) 476-4800
300 S Bruce St
Ste 100
Marshall, MN 56258
100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261
1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921
1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522
Interoperability endpoints
- anna.johansen@avera.sdhealthlink.net
Organizations & group practices 5
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.
-
dba Access Health Worthington
- Federally Qualified Health Center (FQHC)
- Worthington, MN
- NPI 1215317375
-
dba Olivia Hospital & Clinic
- Critical Access Hospital Clinic/Center
- Olivia, MN
- NPI 1649470782
-
dba Access Health Marshall
- Federally Qualified Health Center (FQHC)
- Marshall, MN
- NPI 1740944602
-
dba Access Health - Murdo
- Federally Qualified Health Center (FQHC)
- Murdo, SD
- NPI 1720076441
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Avera Marshall Regional Medical Center
- Critical Access Hospital
- Marshall, MN
- NPI 1568401016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1558073361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1597 290TH AVE",
"city": "GARVIN",
"state": "MN",
"postal_code": "561321240",
"telephone_number": "507-829-9295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HEALTHY WAY",
"city": "OLIVIA",
"state": "MN",
"postal_code": "562771117",
"telephone_number": "900-916-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANSEN",
"first_name": "ANNA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-23",
"last_updated": "2022-12-23",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "9836",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rchospital.com",
"affiliation": "N",
"address_1": "100 Healthy Way",
"city": "Olivia",
"state": "MN",
"country_code": "US",
"postal_code": "562771117",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Olivia, MN
- Healthpartners RC (Olivia Hospital & Clinic)
- Healthpartners RC (Olivia Hospital & Clinic)
- Healthpartners RC (Olivia Hospital & Clinic)
- Cheryl Elaine Hennen
- Independent School District No 2534
- Kandiyohi-Renville Community Health Board
- Jon R Kemp, MD
- Roberta Lynn Kopel, DVM
- Jeffrey T Krogstad, MD
- Laura Weatherby PLLC (Glacial Lakes Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.