Individual provider Active NPI

Johanna Christensen, DNP FNP-BC PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Detroit Lakes, MN
National Provider Identifier
1700617529
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11690 Issued in MN
Practice address
1208 Washington Ave Ste a
Detroit Lakes, MN 56501-3906
Phone
(218) 845-3535
Fax
(218) 210-9420
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R33762 ND
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-5102 HI
Family Nurse Practitioner 363LF0000X R33762 ND
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11690 MN Primary
Family Nurse Practitioner 363LF0000X 11690 MN
Family Nurse Practitioner 363LF0000X APRN-5102 HI

Addresses

Primary practice location

1208 Washington Ave Ste a
Detroit Lakes, MN 56501-3906

Mailing address

912 McKinley Ave # 311
Detroit Lakes, MN 56501-3504
Phone (218) 845-3535

Other practice location 1

407 6th St Ste 105
Hawley, MN 56549-4137
Phone (218) 845-3535

Other practice location 2

27345 County Highway 34
Callaway, MN 56521-9699
Phone (218) 845-3535

Other practice location 3

1696 Haleukana St Unit 2-101
Lihue, HI 96766-9052
Phone (808) 437-9420

Other practice location 4

413 5th Ave NE
Minot, ND 58703-2515
Phone (218) 845-3535

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106000094 MN Practitioner - Nurse Practitioner 4587192547 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-124144HIMDRegistered Nurse
R33762NDMDNurse Practitioner
APRN-5102HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network North Current Accepting new patients
Sanford Health Network North CurrentSince Jan 1, 2025 Accepting new patients
Sanford Health Network North CurrentSince Jan 1, 2025 Accepting new patients
Clear Sky Wellness, PLLC Family CurrentSince May 21, 2026 Accepting new patients
Sanford Health Network North Current Accepting new patients

Locations

1696 Haleukana St
Unit 2-101
Lihue, HI 96766
Phone (808) 437-7548

27345 County Highway 34
Callaway, MN 56521
Phone (218) 845-3535

912 McKinley Ave
Detroit Lakes, MN 56501
Phone (218) 841-8885

1208 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 845-3535

1208 Washington Ave
Ste A
Detroit Lakes, MN 56501

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240

413 5th Ave NE
Minot, ND 58703
Phone (218) 845-3535

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Sunnyside Care CenterLake Park, MN, CCN 245597 Skilled nursing facility Corporate Officer Dec 11, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1700617529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 MCKINLEY AVE # 311",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013504",
            "telephone_number": "218-845-3535",
            "fax_number": "218-210-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 WASHINGTON AVE STE A",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013906",
            "telephone_number": "218-845-3535",
            "fax_number": "218-210-9420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 6th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Hawley",
            "state": "MN",
            "postal_code": "565494137",
            "country_code": "US",
            "telephone_number": "218-845-3535",
            "fax_number": "218-210-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27345 County Highway 34",
            "address_purpose": "LOCATION",
            "city": "Callaway",
            "state": "MN",
            "postal_code": "565219699",
            "country_code": "US",
            "telephone_number": "218-845-3535",
            "fax_number": "218-210-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1696 Haleukana St Unit 2-101",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967669052",
            "country_code": "US",
            "telephone_number": "808-437-9420",
            "fax_number": "218-210-9420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "413 5th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587032515",
            "country_code": "US",
            "telephone_number": "218-845-3535",
            "fax_number": "218-210-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JOHANNA",
        "credential": "DNP FNP-BC PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ND",
            "license": "R33762",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN-5102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R33762",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11690",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11690",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-5102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit Lakes, MN

Sources for this page

Verify at the official NPI Registry.