Roxanne M. Johnson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R22212 Issued in ND

Practice address

110 9TH St SW # 2
Jamestown, ND 58401-4644

Phone

(701) 952-9600

Fax

(701) 952-9601

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Inspired Healthcare PLLCGroup PAC ID 2264856756, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Inspired Healthcare, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamestown, ND
  • NPI 1346860541

  Family

  Medicare reassignment Care Compare group NPD
• Medallus & Vacharothone LTD

  • Family Medicine Physician
  • Jamestown, ND
  • NPI 1710496310

  Nurse Practitioner

  Medicare reassignment NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1609912450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 9TH ST SW # 2",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014644",
            "telephone_number": "701-952-9600",
            "fax_number": "701-845-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 9TH ST SW # 2",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014644",
            "telephone_number": "701-952-9600",
            "fax_number": "701-952-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ROXANNE",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R22212",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R22212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19721",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher S Johnson
• Helen M Johnson II
• Jennifer Grace Johnson
• Larry E Johnson, MD
• Randall A Johnson, MS, LPC, LPCC
• Tiffany F Johnson
• Mary Ann Johnston, RPH, PHARM.D.
• Philip Jystad, M.D.
• Kristen Kaiser, LMSW
• Kama Residential Services LLC

• Family Nurse Practitioner in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Family Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.

Verify at the official NPI Registry.