DR. BIANCA JOHNSON MD
NPI 1235518861
Pediatrics in Sioux Falls, SD
About Dr. Bianca Johnson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BIANCA JOHNSON MD (NPI 1235518861) is an individual pediatrics provider in Sioux Falls, South Dakota, licensed in Minnesota (61087) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Bianca Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bianca Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 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 57106 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.
SIOUX FALLS, SD 57106
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 Bianca Johnson's NPI number?
The NPI number for Bianca Johnson is 1235518861. It was assigned to this individual provider in the NPPES registry on May 28, 2015.
Where is Bianca Johnson located?
Bianca Johnson practices at 2601 S Ellis Rd, Sioux Falls, SD 57106. The listed phone number is (605) 312-3000.
What is Bianca Johnson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Bianca Johnson enrolled in Medicare?
Yes. Bianca Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bianca Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bianca Johnson reassigns Medicare benefits to Sanford Medical Center (Sioux Falls, SD). 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 Bianca Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bianca Johnson accept?
Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Bianca 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 Bianca Johnson was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Bianca Johnson, MD · NPI 1235518861
Pediatrics physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since May 28, 2015.
## Identity
- **NPI:** 1235518861 (Entity type: Individual)
- **Enumerated:** May 28, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 61087 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2601 S ELLIS RD, Sioux Falls, SD 57106-7067
- **Phone:** (605) 312-3000
## 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:** Sanford Medical Center (NPI 1093090342, Sioux Falls, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1235518861) · Data from the CMS NPPES public registry.