Individual provider Active NPI

Justyna Johnson, DNP

  • Family Nurse Practitioner
  • Woodbury, MN
National Provider Identifier
1730722026
Registry record updated Oct 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8863 Issued in MN
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

Updated by the provider on Oct 6, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20221109001549 MN Practitioner - Nurse Practitioner 9234506999 Reassigns benefits to 5 organizations
I20251028004342 FL Practitioner - Nurse Practitioner 9234506999 Reassigns benefits to 1 organization
I20251104003278 AZ Practitioner - Nurse Practitioner 9234506999 Reassigns benefits to 1 organization
I20251107000330 WI Practitioner - Nurse Practitioner 9234506999 Reassigns benefits to 1 organization
I20251201000811 MI Practitioner - Nurse Practitioner 9234506999 Reassigns benefits to 1 organization
I20251201001900 NY Practitioner - Nurse Practitioner 9234506999 Reassigns benefits to 1 organization
I20251205001343 WA Practitioner - Nurse Practitioner 9234506999 Reassigns benefits to 1 organization
I20251211004074 IL Practitioner - Nurse Practitioner 9234506999 Reassigns benefits to 1 organization
I20260218000553 CA Practitioner - Nurse Practitioner 9234506999 Reassigns benefits to 1 organization

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
Ez Health Medical Group West PCGroup PAC ID 4284133893, 15 clinicians
Brooklyn Family Medicine Practice PCGroup PAC ID 7911401260, 18 clinicians
Ez Health Medical Group PAGroup PAC ID 7214469816, 34 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
95038120CAMDCommunity Health Registered Nurse
STUDENTILMDFamily Medicine Physician
8863MNMDPhysician Assistant
262369AZMDFamily Nurse Practitioner
2493037MNMDFamily Nurse Practitioner
1518833WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Apr 3, 2023 Accepting new patients
Lifecare Medical Center Current Accepting new patients
Ez Health Medical Group PA CurrentSince Aug 18, 2025 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Apr 3, 2023 Accepting new patients
Brooklyn Family Medicine Practice PC CurrentSince Aug 18, 2025 Accepting new patients
Ez Health Medical Group West PC CurrentSince Jan 4, 2026 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.

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

Verify at the official NPI Registry.