EMILY LOU JOHNSON PA-C
NPI 1013309715
Physician Assistant in Maple Grove, MN

Active since March 04, 2015PECOS EnrolledAccepts Medicare Assignment
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369(763) 520-7870(763) 520-7580 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Mar 17, 2018, Nov 4, 2017 (3 updates tracked since 2017).

About Emily Lou Johnson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY LOU JOHNSON PA-C (NPI 1013309715) is an individual physician assistant in Maple Grove, Minnesota, licensed in Minnesota (11759) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1013309715
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY LOU JOHNSONCredential: PA-C
Location Address9630 GROVE CIR N STE 200Maple Grove, MN 55369-3492
Mailing Address4200 Dahlberg Dr Ste 300Golden Valley, MN 55422-4841 · (952) 512-5600
Fax(763) 520-7580
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 4, 2015
Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1013309715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 11759
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9630 GROVE CIR N STE 200, Maple Grove, MN 55369

Other Names 1

Former Name (1)Emily Lou Campbell Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emily Lou Johnson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941528467
PECOS Enrollment IDI20150414000678
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
64 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
16 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Centracare Health - Monticello

Critical Access Hospitals · Monticello, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241362
Location1013 Hart BoulevardMonticello, MN 55362 · Wright County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Specialist/Technologist (Athletic Trainer)
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Occupational Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Dietitian, Registered
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physical Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Occupational Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Johnson's NPI number?

The NPI number for Emily Johnson is 1013309715. It was assigned to this individual provider in the NPPES registry on March 4, 2015. The provider is also known as Emily Lou Campbell Pa-C.

Where is Emily Johnson located?

Emily Johnson practices at 9630 Grove Cir N Ste 200, Maple Grove, MN 55369. The listed phone number is (763) 520-7870.

What is Emily Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Emily Johnson enrolled in Medicare?

Yes. Emily Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Emily Johnson affiliated with any hospitals?

According to CMS data, Emily Johnson is affiliated with St Cloud Hospital and Centracare Health - Monticello.

When was this NPI record last updated?

The NPPES record for Emily Johnson was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.