Active NPI
Carmen Leah Johnson, MD
- Family Medicine Physician
- Aitkin, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 44732
- Practice address
- 200 Bunker Hill Dr
Aitkin, MN 56431-1865 - Phone
- (218) 927-2121
- NPI assigned
- Jun 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44732 | MN | Primary |
Addresses
Primary practice location
200 Bunker Hill Dr
Aitkin, MN 56431-1865
Mailing address
315 N Oak Bend Dr
Duluth, MN 55811-5223
Phone (218) 729-8883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040805001518 | MN | Practitioner - Family Practice | 8224009790 | Reassigns benefits to 5 organizations |
| I20081226000164 | MT | Practitioner - Family Practice | 8224009790 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Culbertson Froid Bainville Health Care Corporation | Current | Accepting new patients | |
| Lake View Clinic | Family Medicine | Current | Accepting new patients |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Lake View Memorial Hospital, Inc | Current | Accepting new patients | |
| Lake View Memorial Hospital, Inc. | Current | Accepting new patients | |
| Cook County Hospital District | Current | Accepting new patients | |
| Aitkin Community Hospital, Inc. | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
515 5th Ave W
Grand Marais, MN 55604
Phone (218) 387-3040
325 11th Ave
Two Harbors, MN 55616
Phone (218) 834-5520
818 2nd Ave E
Culbertson, MT 59218
Phone (406) 787-6400
621 3rd St S
Glasgow, MT 59230
Phone (406) 228-3500
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.
-
- Critical Access Hospital
- Culbertson, MT
- NPI 1598874232
MT
-
- Community/Retail Pharmacy
- Aitkin, MN
- NPI 1497377287
-
- Certified Registered Nurse Anesthetist
- Two Harbors, MN
- NPI 1992512701
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770524258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N OAK BEND DR",
"city": "DULUTH",
"state": "MN",
"postal_code": "558115223",
"telephone_number": "218-729-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BUNKER HILL DR",
"city": "AITKIN",
"state": "MN",
"postal_code": "564311865",
"telephone_number": "218-927-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CARMEN",
"middle_name": "LEAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "44732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aitkin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.