1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Nurse Practitioner
  6. NPI Profile

BETHANY JOHNSON FNP-BC
NPI 1104751320
Nurse Practitioner in Fargo, ND

Active since June 17, 2026PECOS Enrolled
801 BROADWAY N, FARGO, ND 58102(701) 234-2251 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bethany Johnson Fnp-bc NPPES

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

BETHANY JOHNSON FNP-BC (NPI 1104751320) is an individual nurse practitioner in Fargo, North Dakota, licensed in North Dakota (205339) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1104751320
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameBETHANY JOHNSONCredential: FNP-BC
Location Address801 BROADWAY NFargo, ND 58102-3641
Mailing Address5225 23rd Ave SFargo, ND 58104-7927 · (701) 417-2000
Phone(701) 234-2251
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 17, 2026
Last NPPES UpdateJuly 7, 2026
NPPES CertifiedJuly 7, 2026
✔ NPI 1104751320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ND · 205339
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 205339 (ND)
801 BROADWAY N, Fargo, ND 58102
Open in Google Maps ↗

Other Names 1

Former Name (1)Bethany Sandy

Secondary Practice Locations 2

Location 1801 Broadway NFargo, ND 58102-3641 · Phone (701) 234-2000
Location 25225 23rd Ave SFargo, ND 58104-7927 · Phone (701) 417-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4082172879
PECOS Enrollment IDI20260821003401
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 Bethany Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo
2.7 mi
Occupational Medicine
3838 12TH AVE N
Fargo, ND 58102
  • Reassigned Medicare billing, North Dakota enrollment
  • 1,464 clinicians in this Medicare group
NPI 1952323974 (701) 234-4700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 20

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

SARAH HOEPFNER
Speech-Language Pathologist
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6970
JULIE HONEYMAN CRNA
Nurse Anesthetist, Certified Registered
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6355
SANFORD MEDICAL CENTER FARGO
Hospice Care, Community Based
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-5264
DOUGLAS J HUSHKA MD
Family Medicine
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-6552
PAUL JAMES CARSON MD
Internal Medicine (Infectious Disease)
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-4811
DR. EMUEJEVOKE JOSEPH OKOH M.D.
Internal Medicine (Gastroenterology)
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-2000
WALDEMAR G STORM MD
Pediatrics
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-2261
GREGORY J BJERKE MD
Internal Medicine
801 BROADWAY N
FARGO, ND 58102
Cass County (701) 234-5123

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 Bethany Johnson's NPI number?

The NPI number for Bethany Johnson is 1104751320. It was assigned to this individual provider in the NPPES registry on June 17, 2026. The provider is also known as Bethany Sandy.

Where is Bethany Johnson located?

Bethany Johnson practices at 801 Broadway N, Fargo, ND 58102. The listed phone number is (701) 234-2251.

What is Bethany Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Bethany Johnson enrolled in Medicare?

Yes. Bethany Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bethany Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Johnson reassigns Medicare benefits to Sanford Medical Center Fargo (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethany Johnson accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Bethany Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany Johnson was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.