Individual provider Active NPI

Carmen Leah Johnson, MD

  • Family Medicine Physician
  • Aitkin, MN
National Provider Identifier
1770524258
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44732 Issued in MN
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040805001518 MN Practitioner - Family PracticePractitioner - Interventional Pain Management 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

OrganizationSpecialtyStatusNew patients
Culbertson Froid Bainville Health Care Corporation CurrentSince Jul 6, 2010 Accepting new patients
Lake View Clinic Family Medicine CurrentSince Jul 1, 2012 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince May 12, 2017 Accepting new patients
Lake View Memorial Hospital, Inc Current Accepting new patients
Lake View Memorial Hospital, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Cook County Hospital District CurrentSince Nov 30, 2023 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince May 12, 2017 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.

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

Verify at the official NPI Registry.