KELSEY NICOLE JOHNSON PMHNP-BC
NPI 1184493355
Nurse Practitioner - Psychiatric/Mental Health in Vadnais Heights, MN

Q: What is Kelsey Johnson's NPI number?

The NPI number for Kelsey Johnson is 1184493355. It was assigned to this individual provider in the NPPES registry on December 28, 2023. The provider is also known as Kelsey Nicole Rudsinski.

Q: What is Kelsey Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Johnson was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since December 28, 2023PECOS EnrolledAccepts Medicare Assignment

3555 WILLOW LAKE BLVD STE 290, VADNAIS HEIGHTS, MN 55110(952) 431-5330 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelsey Nicole Johnson Pmhnp-bc NPPES

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

KELSEY NICOLE JOHNSON PMHNP-BC (NPI 1184493355) is an individual psychiatric/mental health provider in Vadnais Heights, Minnesota, licensed in Minnesota (11143) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1184493355

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELSEY NICOLE JOHNSONCredential: PMHNP-BC

Location Address3555 WILLOW LAKE BLVD STE 290Vadnais Heights, MN 55110-4465

Mailing Address3555 Willow Lake Blvd Ste 290Vadnais Heights, MN 55110-4465 · (952) 431-5330

Phone(952) 431-5330

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 28, 2023

Last NPPES UpdateSeptember 20, 2024

NPPES CertifiedSeptember 20, 2024

✔ NPI 1184493355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 11143

3555 WILLOW LAKE BLVD STE 290, Vadnais Heights, MN 55110

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Other Names 1

Former Name (1)Kelsey Nicole Rudsinski

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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

Kelsey Nicole Johnson Pmhnp-bc 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 ID3678918836

PECOS Enrollment IDI20240227002831

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

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.

Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, G2083

This is a routine office visit for existing patients needing physician supervision for esketamine nasal self-administration, a medication used for certain mental health conditions. More than 56 mg will be administered. The visit includes evaluation and ongoing management of your health.

89 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55110 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 3

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

SHANNON NICOLE STUART

Registered Nurse (Psychiatric/Mental Health)

3555 WILLOW LAKE BLVD STE 290
VADNAIS HEIGHTS, MN 55110

Ramsey County (952) 431-5330

ANDREA MAGGIE STANKIEWICZ DNP, APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

3555 WILLOW LAKE BLVD STE 290
VADNAIS HEIGHTS, MN 55110

Ramsey County (952) 431-5330

CHRISTINE M. HUMPHREY R.N.

Registered Nurse (Psychiatric/Mental Health)

3555 WILLOW LAKE BLVD STE 290
VADNAIS HEIGHTS, MN 55110

Ramsey County (952) 431-5330

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 Kelsey Johnson's NPI number?

The NPI number for Kelsey Johnson is 1184493355. It was assigned to this individual provider in the NPPES registry on December 28, 2023. The provider is also known as Kelsey Nicole Rudsinski.

Where is Kelsey Johnson located?

Kelsey Johnson practices at 3555 Willow Lake Blvd Ste 290, Vadnais Heights, MN 55110. The listed phone number is (952) 431-5330.

What is Kelsey Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelsey Johnson enrolled in Medicare?

Yes. Kelsey 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.

What insurance does Kelsey Johnson accept?

Health plans from HealthPartners list Kelsey 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 Kelsey Johnson was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.