Individual provider Active NPI

Karn J Johansen, PA-C

  • Physician Assistant
  • Edina, MN
National Provider Identifier
1992836076
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12967 Issued in MN
Practice address
7101 York Ave S Ste 130
Edina, MN 55435-4510
Phone
(612) 730-2237
Fax
(888) 809-6033
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001286 IA
Physician Assistant 363A00000X 12967 MN Primary

Addresses

Primary practice location

7101 York Ave S Ste 130
Edina, MN 55435-4510

Mailing address

7101 York Ave S Ste 130
Edina, MN 55435-4510
Phone (612) 730-2237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001286IAMDProfessional Counselor
12967MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charles City Family Health Ctr, P.C. CurrentSince Sep 1, 1991 Accepting new patients
Mason City Clinic PC Physician Assistant Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1501 S Main St
Ste 1
Charles City, IA 50616
Phone (515) 228-5151

Interoperability endpoints

  • Direct secure messaging: kjohansen84121@uihcdirect.org

Organizations & group practices 3

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1992836076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 130",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354510",
            "telephone_number": "612-730-2237",
            "fax_number": "888-809-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 YORK AVE S STE 130",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354510",
            "telephone_number": "612-730-2237",
            "fax_number": "888-809-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "KARN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001286",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.