NPIMap

Individual provider Active NPI

Natalie Nicole Johnson, APRN, CNP

  • Women's Health Nurse Practitioner
  • Maple Grove, MN
National Provider Identifier
1790341865
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
6529 Issued in MN
Practice address
9550 Upland LN N Ste 230
Maple Grove, MN 55369-4484
Phone
(763) 255-3400
NPI assigned
May 14, 2019
Last updated
May 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 6529 MN Primary

Addresses

Primary practice location

9550 Upland LN N Ste 230
Maple Grove, MN 55369-4484

Mailing address

7380 Steepleview Rd
Woodbury, MN 55125-1521
Phone (715) 579-7889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190711001115 MN Practitioner - Nurse Practitioner 8224363395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

3960 Coon Rapids Blvd NW
Suite 220
Coon Rapids, MN 55433-2589
Phone (763) 236-8438

Hospital & facility affiliations

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
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Sep 23, 2022 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Jan 1, 2020 Accepting new patients
Obstetrics and Gynecology Associates, P.a. CurrentSince Jun 3, 2019 Accepting new patients
Allina Health System CurrentSince Sep 23, 2022 Accepting new patients
NPI 1083910871 Past Accepting new patients

Locations

305 E Nicollet Blvd
Ste 170
Burnsville, MN 55337
Phone (952) 435-4190

3960 Coon Rapids Blvd NW
Ste 220
Coon Rapids, MN 55433
Phone (763) 236-8438

9550 Upland Ln N
Ste 230
Maple Grove, MN 55369
Phone 7632553400 ext. 7073

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

6405 France Ave S
Ste W400
Minneapolis, MN 55435
Phone (952) 920-2730

6565 France Ave S
Ste 200
Minneapolis, MN 55435
Phone (952) 806-0011

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

347 Smith Ave N
Ste 204
Saint Paul, MN 55102
Phone (651) 241-6270

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1790341865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 STEEPLEVIEW RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251521",
            "telephone_number": "715-579-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 UPLAND LN N STE 230",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694484",
            "telephone_number": "763-255-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NATALIE",
        "middle_name": "NICOLE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "6529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.