CARLA JOHNS
NPI 1174793012
Nurse Practitioner - Family in Minneapolis, MN
About Carla Johns NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA JOHNS (NPI 1174793012) is an individual family provider in Minneapolis, Minnesota, licensed in Illinois (209.006906) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carla Johns 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.
Medicare Billing Reassignment
Medicare enrollment records show Carla Johns reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elgin, IL 60123
- Reassigned Medicare billing, Illinois enrollment
- 66 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 55402 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.
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 Carla Johns's NPI number?
The NPI number for Carla Johns is 1174793012. It was assigned to this individual provider in the NPPES registry on March 6, 2008.
Where is Carla Johns located?
Carla Johns practices at 920 2nd Ave S Suite 400, Minneapolis, MN 55402. The listed phone number is (612) 659-7111.
What is Carla Johns's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carla Johns enrolled in Medicare?
Yes. Carla Johns 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.
Which organization bills Medicare for Carla Johns's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Johns reassigns Medicare benefits to Premise Health Of Illinois Medical PC (Elgin, IL). 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 Carla Johns'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 Carla Johns was last updated on December 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Carla Johns · NPI 1174793012
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 6, 2008.
## Identity
- **NPI:** 1174793012 (Entity type: Individual)
- **Enumerated:** March 6, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.006906 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 920 2ND AVE S, SUITE 400, Minneapolis, MN 55402-3318
- **Phone:** (612) 659-7111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Premise Health Of Illinois Medical PC (NPI 1235811860, Elgin, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** December 31, 2008
- **Other identifiers:** Medicare PIN R03515 (IL); Medicare PIN R03514 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1174793012) · Data from the CMS NPPES public registry.