DEBRA DEANOVIC JOHNSON MD
NPI 1124093265
Pediatrics in Minneapolis, MN
About Debra Deanovic Johnson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBRA DEANOVIC JOHNSON MD (NPI 1124093265) is an individual pediatrics provider in Minneapolis, Minnesota, licensed in Minnesota (26260) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Debra Deanovic Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Debra Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 clinicians in this Medicare group
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 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Debra Johnson's NPI number?
The NPI number for Debra Johnson is 1124093265. It was assigned to this individual provider in the NPPES registry on February 22, 2006.
Where is Debra Johnson located?
Debra Johnson practices at 2220 Riverside Ave Mail Stop 31700A, Minneapolis, MN 55454. The listed phone number is (612) 371-1600.
What is Debra Johnson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Debra Johnson enrolled in Medicare?
Yes. Debra Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Debra Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Debra Johnson reassigns Medicare benefits to Group Health, Inc. (Minneapolis, MN). 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 Debra Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Debra Johnson was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Debra Deanovic Johnson, MD · NPI 1124093265
Pediatrics physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since February 22, 2006.
## Identity
- **NPI:** 1124093265 (Entity type: Individual)
- **Enumerated:** February 22, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 26260 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2220 RIVERSIDE AVE, MAIL STOP 31700A, Minneapolis, MN 55454-1321
- **Phone:** (612) 371-1600 · **Fax:** (612) 371-1732
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Group Health, Inc. (NPI 1700932449, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 28, 2020
- **Other identifiers:** Medicaid 310382000 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1124093265) · Data from the CMS NPPES public registry.