Anna Elizabeth Johansen, FNP
Individual provider Active NPI Primary Care Nurse Practitioner · Olivia, MN
NPI 1558073361 · NPPES record last updated Dec 23, 2022
Key facts
- NPI
- 1558073361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 9836 (MN)
- Practice address
- 100 Healthy Way
Olivia, MN 56277-1117 - Phone
- (900) 916-1836
- NPI assigned
- Dec 23, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Health Care Inc
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
- Avera Marshall Regional Medical Ctr
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230411001707 | MN | Practitioner - Nurse Practitioner | 0840665527 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | 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 | Current |
Accepting new patients | |
| Rural Health Care, Inc. | Past | Accepting new patients |
Locations
300 S Bruce St
Ste 100
Marshall, MN 56258
1521 Carlson St
Ste 100
Marshall, MN 56258
Phone (507) 476-4800
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 9836 | MN | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rchospital.com |
Other providers in Olivia, MN
- Healthpartners RC
- Healthpartners RC
- Healthpartners RC
- Cheryl Elaine Hennen
- Independent School District No 2534
- Kandiyohi-Renville Community Health Board
- Jon R Kemp
- Roberta Lynn Kopel
- Jeffrey T Krogstad
- Laura Weatherby PLLC
All providers in Olivia, MN · Primary Care Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.