SALLY K JOHNSON CRNA
NPI 1184875502
Nurse Anesthetist, Certified Registered in Minneapolis, MN

Active since October 03, 2008PECOS EnrolledAccepts Medicare Assignment
2828 CHICAGO AVE, STE 300, MINNEAPOLIS, MN 55407(612) 871-7639(612) 872-0302 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sally K Johnson Crna NPPES

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

SALLY K JOHNSON CRNA (NPI 1184875502) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Minnesota (MNR123631-0) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1184875502
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSALLY K JOHNSONCredential: CRNA
Location Address2828 CHICAGO AVE, STE 300Minneapolis, MN 55407-1544
Mailing Address3944 44th Ave SMinneapolis, MN 55406-3516 · (612) 724-2869 · Fax (612) 872-0302
Fax(612) 872-0302
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 3, 2008
Last NPPES UpdateJanuary 6, 2026
NPPES CertifiedJanuary 6, 2026
✔ NPI 1184875502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · MNR123631-0
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2828 CHICAGO AVE, Minneapolis, MN 55407

Secondary Practice Location 1

Location 1701 Park AveMinneapolis, MN 55415-1623 · Phone (612) 873-3000

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

Sally K Johnson Crna 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 ID3173663887
PECOS Enrollment IDI20091210000317
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 Reassignments

3

Medicare enrollment records show Sally Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
2833 CHICAGO AVE
Minneapolis, MN 55407
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
Home Health
825 S 8TH ST, SL10
Minneapolis, MN 55404
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 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.

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.

Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

Nurse Anesthetist, Certified Registered
2828 CHICAGO AVE, SUITE 300
MINNEAPOLIS, MN 55407
Nurse Anesthetist, Certified Registered
2828 CHICAGO AVE, SUITE 300
MINNEAPOLIS, MN 55407
Clinical Medical Laboratory
2828 CHICAGO AVE
MINNEAPOLIS, MN 55407
Psychiatry & Neurology (Neurology)
2828 CHICAGO AVE, STE 200
MINNEAPOLIS, MN 55407
Obstetrics & Gynecology (Reproductive Endocrinology)
2828 CHICAGO AVE, SUITE 400
MINNEAPOLIS, MN 55407
Physician Assistant
2828 CHICAGO AVE, SUITE 200
MINNEAPOLIS, MN 55407
Nurse Anesthetist, Certified Registered
2828 CHICAGO AVE
MINNEAPOLIS, MN 55407
Psychiatry & Neurology (Neurology)
2828 CHICAGO AVE, SUITE 200
MINNEAPOLIS, MN 55407

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 Sally Johnson's NPI number?

The NPI number for Sally Johnson is 1184875502. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Where is Sally Johnson located?

Sally Johnson practices at 2828 Chicago Ave Ste 300, Minneapolis, MN 55407. The listed phone number is (612) 871-7639.

What is Sally Johnson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Sally Johnson enrolled in Medicare?

Yes. Sally 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.

Which organizations bill Medicare for Sally Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Johnson reassigns Medicare benefits to 3 organizations: Allina Health System (Minneapolis, MN), Hennepin Healthcare System, Inc (Minneapolis, MN) and Metropolitan Anesthesia Network, LLP (Plymouth, MN). Each 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 Sally Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sally Johnson affiliated with any hospitals?

According to CMS data, Sally Johnson is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Sally Johnson was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.