NPIMap

Individual provider Active NPI

Kathryn Ann Johnson, APRN, CNP

  • Nurse Practitioner
  • Duluth, MN
National Provider Identifier
1649903006
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9274 Issued in MN
Practice address
1001 E Superior St Ste 201
Duluth, MN 55802-2228
Phone
(218) 249-3057
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9274 MN Primary

Addresses

Primary practice location

1001 E Superior St Ste 201
Duluth, MN 55802-2228

Mailing address

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Other practice location 1

402 E 2nd St
Duluth, MN 55805-1906
Phone (218) 786-8364

Other names 1

  • Kathryn Ann Anderson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@slk.direct.slhduluth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220830002669 MN Practitioner - Nurse Practitioner 1850775586 Reassigns benefits to 4 organizations
I20260128000838 WI Practitioner - Nurse Practitioner 1850775586 Reassigns benefits to 1 organization

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
St. Luke'S Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians
St Marys Medical CenterGroup PAC ID 6901706357, 91 clinicians

Practice addresses (Care Compare)

1001 E Superior St
Suite 201
Duluth, MN 55802-2228
Phone (218) 279-6230

2201 Lake Shore Dr E
Ashland, WI 54806-2331
Phone (715) 685-6600

402 E 2ND St
Duluth, MN 55805-1906
Phone (218) 786-3443

Hospital & facility affiliations

  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002
  • St Lukes Hospital Hospital, Duluth, MN, CCN 240047
  • Essentia Health Virginia Hospital, Virginia, MN, CCN 240084
  • Essentia Health Duluth Hospital, Duluth, MN, CCN 240019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9274MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake View Memorial Hospital, Inc. CurrentSince Dec 3, 2025 Accepting new patients
Lake View Memorial Hospital, Inc CurrentSince Dec 3, 2025 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Oct 17, 2025 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Jul 11, 2022 Accepting new patients
St. Mary'S Medical Center CurrentSince Jan 12, 2026 Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Jul 11, 2022 Accepting new patients
St. Luke'S Hospital of Duluth Current Accepting new patients
St Marys Medical Center CurrentSince Jan 12, 2026 Accepting new patients
St. Luke'S Hospital of Duluth Past Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1001 E Superior St
Ste L201
Duluth, MN 55802
Phone (218) 249-3057

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

1001 E Superior St
Ste 201
Duluth, MN 55802
Phone (218) 249-3057

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

1120 E 34th St
Hibbing, MN 55746
Phone (218) 362-7100

325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520

1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563

2201 Lake Shore Dr E
Ashland, WI 54806
Phone (715) 685-6600

Interoperability endpoints

  • Direct secure messaging: kjohnson237265@direct.aspirus.org

Organizations & group practices 11

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.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1649903006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E SUPERIOR ST STE 201",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022228",
            "telephone_number": "218-249-3057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558051906",
            "country_code": "US",
            "telephone_number": "218-786-8364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "9274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@slk.direct.slhduluth.com",
            "affiliation": "N",
            "address_1": "1001 E Superior St Ste 201",
            "city": "Duluth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "558022228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ANDERSON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.