Active NPI
Justyna Johnson, DNP
- Family Nurse Practitioner
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8863
- Practice address
- 8675 Valley Creek Rd
Woodbury, MN 55125-2337 - Phone
- (651) 241-3000
- NPI assigned
- Oct 20, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2493037 | MN | |
| Family Nurse Practitioner | 363LF0000X | 262369 | AZ | |
| Family Nurse Practitioner | 363LF0000X | STUDENT | IL | |
| Family Nurse Practitioner | 363LF0000X | 1518833 | WI | |
| Family Nurse Practitioner | 363LF0000X | 8863 | MN | Primary |
Addresses
Primary practice location
8675 Valley Creek Rd
Woodbury, MN 55125-2337
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 262-9000
Other practice location 1
1010 W Lake St
Minneapolis, MN 55408-2860
Phone (612) 822-1297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, FL, AZ, WI, MI, NY, WA, IL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Woodbury, MN 55129
Phone (385) 327-2541
Seattle, WA 98107
Phone (385) 327-2541
107 Wesley St
Manlius, NY 13104-1835
Phone (385) 327-2541
111 W Jackson Blvd
Suite 1700
Chicago, IL 60604-3597
Phone (385) 327-2541
135 N Old Woodward Ave
Suite 200
Birmingham, MI 48009-3341
Phone (385) 327-2541
1600 Shawano Ave
Suite 107
Green Bay, WI 54303-3246
Phone (385) 327-2541
1801 NE 123Rd St
Suite 314
North Miami, FL 33181-2883
Phone (385) 327-2541
1880 N Frontage Rd
Hastings, MN 55033-2687
Phone (612) 775-6200
1910 S Stapley Dr
Suite 120
Mesa, AZ 85204-6676
Phone (385) 327-2541
2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (866) 603-0016
4166 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 241-1306
4194 Lexington Ave N
Shoreview, MN 55126-6106
Phone (651) 483-5461
440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225
445 Minnesota St
Suite 1500
Saint Paul, MN 55101-2269
Phone (385) 327-2541
6350 W 143Rd St
Savage, MN 55378-2890
8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone (651) 241-3000
960 Jacklin Rd
Milpitas, CA 95035-4554
Phone (385) 327-2541
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.6 of 100
- Quality
- 72.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95038120 | CA | MD | Community Health Registered Nurse |
| STUDENT | IL | MD | Family Medicine Physician |
| 8863 | MN | MD | Physician Assistant |
| 262369 | AZ | MD | Family Nurse Practitioner |
| 2493037 | MN | MD | Family Nurse Practitioner |
| 1518833 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Current | Accepting new patients | |
| Lifecare Medical Center | Current | Accepting new patients | |
| Ez Health Medical Group PA | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Brooklyn Family Medicine Practice PC | Current | Accepting new patients | |
| Ez Health Medical Group West PC | Current | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Locations
1910 S Stapley Dr
Ste 120
Mesa, AZ 85204
Phone (480) 480-2794
960 Jacklin Rd
Milpitas, CA 95035
Phone (408) 649-2370
303 Twin Dolphin Dr
Ste 600
Redwood City, CA 94065
Phone (740) 350-3565
325 S 1st St
Ste 200
San Jose, CA 95113
Phone (415) 839-7564
2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877
1801 NE 123rd St
Ste 314
North Miami, FL 33181
Phone (239) 380-8220
111 W Jackson Blvd
Ste 1700
Chicago, IL 60604
Phone (708) 223-8405
135 N Old Woodward Ave
Ste 200
Birmingham, MI 48009
Phone (707) 815-0374
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000
445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105
5565 Blaine Ave
South St Paul, MN 55076
Phone (651) 241-9400
8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000
401 New Karner Rd
Ste 3
Albany, NY 12205
Phone (512) 222-9792
3010 41st Ave
Ste 400
Long Island City, NY 11101
245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
1600 Shawano Ave
Ste 107
Green Bay, WI 54303
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Critical Access Hospital
- Roseau, MN
- NPI 1609861095
-
- Family Medicine Physician
- Hastings, MN
- NPI 1578869293
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1467758813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728172800000",
"number": "1730722026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071321",
"telephone_number": "612-262-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8675 VALLEY CREEK RD",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252337",
"telephone_number": "651-241-3000"
}
],
"practiceLocations": [
{
"address_1": "1010 W Lake St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554082860",
"country_code": "US",
"telephone_number": "612-822-1297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "JUSTYNA",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-20",
"last_updated": "2024-10-06",
"certification_date": "2024-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "2493037",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "262369",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "STUDENT",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "1518833",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "8863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; 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.