SARAH MARY JOHNSON FNP-BC
NPI 1063645224
Nurse Practitioner - Gerontology in Crystal, MN

Q: What is Sarah Johnson's NPI number?

The NPI number for Sarah Johnson is 1063645224. It was assigned to this individual provider in the NPPES registry on September 3, 2009.

Q: What is Sarah Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Johnson was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 03, 2009PECOS Enrolled

5200 DOUGLAS DR N, CRYSTAL, MN 55429(763) 400-3628(763) 342-4183 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2023, Jun 25, 2018, Jul 31, 2017 (3 updates tracked since 2017).

On this page

About Sarah Mary Johnson Fnp-bc NPPES

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

SARAH MARY JOHNSON FNP-BC (NPI 1063645224) is an individual gerontology provider in Crystal, Minnesota, licensed in Minnesota (970) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Robbinsdale.

NPPES Registry Identity

NPI1063645224

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSARAH MARY JOHNSONCredential: FNP-BC

Location Address5200 DOUGLAS DR NCrystal, MN 55429-3104

Mailing Address6694 Mckown CtIndependence, MN 55359-2200 · (952) 240-4944

Phone(763) 400-3628

Fax(763) 342-4183

Sole ProprietorYes

Enumeration DateSeptember 3, 2009

Last NPPES UpdateDecember 18, 20233 updates tracked since enumeration

NPPES CertifiedDecember 18, 2023

✔ NPI 1063645224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · 970

5200 DOUGLAS DR N, Crystal, MN 55429

Open in Google Maps ↗

Secondary Practice Location 1

Location 13300 Oakdale Ave NRobbinsdale, MN 55422 · Phone (763) 581-5678 · Fax (763) 581-9341

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Mary Johnson Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespark Medical Group, PA

6.1 mi

Geriatric Medicine

5320 W 23RD ST STE 130
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
60 clinicians in this Medicare group

NPI 1427551746 (952) 345-8770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

84 services62 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

82 services51 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

66 services36 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.

31 services28 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

25 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55429 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

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 12

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

MRS. KATILYN MARIE DAVIS CNP

Nurse Practitioner (Gerontology)