Individual provider Active NPI

Johanna Kristen Fox, MD

  • Family Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1922426329
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
65538 Issued in MN
Practice address
45 10TH St W
Saint Paul, MN 55102-1062
Phone
(651) 232-3000
Fax
(651) 326-3626
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 65538 MN
Family Medicine Physician 207Q00000X 65538 MN Primary

Addresses

Primary practice location

45 10TH St W
Saint Paul, MN 55102-1062

Mailing address

2945 Hazelwood St Ste 200
Maplewood, MN 55109-1243
Phone (651) 471-9400

Other names 1

  • Dr. Johanna Kristen Erstad Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191116000015 MN Practitioner - Family PracticePractitioner - General Surgery 4385945849 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8400 Normandale Lake Blvd
Suite 920
Minneapolis, MN 55437-3843
Phone (954) 399-4673

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue273
Removal of skin lesions12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65538MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Surgery CurrentSince Apr 20, 2020 Accepting new patients
Healtheast Medical Research Institute Surgery CurrentSince Apr 20, 2020 Accepting new patients
Vohra Post Acute Care Physicians of the East, PA Family Medicine CurrentSince Oct 11, 2021 Accepting new patients
Fairview Bethesda Hospital CurrentSince Apr 20, 2020 Accepting new patients
Healtheast Woodwinds Hospital CurrentSince Apr 20, 2020 Accepting new patients
Healtheast Care System CurrentSince Apr 20, 2020 Accepting new patients
Healtheast St. John'S Hospital CurrentSince Apr 20, 2020 Accepting new patients

Locations

8400 Normandale Lake Blvd
Ste 920
Minneapolis, MN 55437
Phone (612) 735-4509

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

2945 Hazelwood St
Ste 200
Saint Paul, MN 55109
Phone (612) 440-6315

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1922426329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 HAZELWOOD ST STE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091243",
            "telephone_number": "651-471-9400",
            "fax_number": "651-326-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 10TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021062",
            "telephone_number": "651-232-3000",
            "fax_number": "651-326-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "JOHANNA",
        "middle_name": "KRISTEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "65538",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "65538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "ERSTAD",
            "middle_name": "KRISTEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.