Nicole Johnson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022003041 Issued in SD

Practice address

410 W. 4TH St
Mahnomen, MN 56557

Phone

(218) 935-2514

NPI assigned

May 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverview Healthcare AssociationGroup PAC ID 7810806718, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverview Hospital Hospital, Crookston, MN, CCN 241320

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Riverview Healthcare Association

  • Multi-Specialty Clinic/Center
  • East Grand Forks, MN
  • NPI 1811918436
  Medicare reassignment Care Compare group NPD
• Riverview Healthcare Association

  • Rural Health Clinic/Center
  • Crookston, MN
  • NPI 1487944898
  Medicare reassignment NPD (past)
• Riverview Healthcare Association

  • Critical Access Hospital
  • Crookston, MN
  • NPI 1477525566
  NPD
• Riverview Healthcare Association

  • Physical Therapy Clinic/Center
  • Fertile, MN
  • NPI 1659045987
  NPD
• Riverview Healthcare Association

  • Rural Health Clinic/Center
  • Red Lake Falls, MN
  • NPI 1841581212
  NPD

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

• Riverview Healthcare Association

  • Institutional Pharmacy
  • Crookston, MN
  • NPI 1083763650

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Critical Access Hospital
  • Crookston, MN
  • NPI 1477525566
  Care Compare affiliation
• Riverview Healthcare Association

  • Rural Health Clinic/Center
  • Crookston, MN
  • NPI 1487944898

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Physical Therapy Clinic/Center
  • Fertile, MN
  • NPI 1659045987

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Multi-Specialty Clinic/Center
  • Thief River Falls, MN
  • NPI 1740473800

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Rural Health Clinic/Center
  • Fertile, MN
  • NPI 1750671186

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Multi-Specialty Clinic/Center
  • East Grand Forks, MN
  • NPI 1811918436

  Hospital

  Care Compare affiliation
• Riverview Healthcare Association

  • Rural Health Clinic/Center
  • Red Lake Falls, MN
  • NPI 1841581212

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1811635014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47639 192ND ST",
            "city": "BRANDT",
            "state": "SD",
            "postal_code": "572185731",
            "telephone_number": "218-280-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W. 4TH ST",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "56557",
            "telephone_number": "218-935-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "2022003041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Fuhrer, MPT
• Brenda Geray, RN
• Kristen Hemmingsen, NP
• Anne Huschle
• Hannah Jacobson
• Varya Kelly, OT
• Jessie Marie Kier, DNP, APRN, FNP-BC
• Mahnomen Area Assisted Living Center Inc
• Mahnomen County Human Services
• Mahnomen Health Center

• Family Nurse Practitioner in Mahnomen, MN
• Providers in Mahnomen, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.

Verify at the official NPI Registry.