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KIMBERLY ANN JOHNSON CNP
NPI 1295014520
Nurse Practitioner - Psychiatric/Mental Health in Hermantown, MN

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment
4899 MILLER TRUNK HWY STE 208, HERMANTOWN, MN 55811(218) 727-3888(218) 260-4772 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2020, May 3, 2018 (2 updates tracked since 2018).

About Kimberly Ann Johnson Cnp NPPES

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

KIMBERLY ANN JOHNSON CNP (NPI 1295014520) is an individual psychiatric/mental health provider in Hermantown, Minnesota, licensed in Minnesota (1510) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1295014520
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY ANN JOHNSONCredential: CNP
Location Address4899 MILLER TRUNK HWY STE 208Hermantown, MN 55811-1582
Mailing Address4899 Miller Trunk Hwy Ste 208Hermantown, MN 55811-1582 · (218) 727-3888 · Fax (218) 260-4772
Phone(218) 727-3888
Fax(218) 260-4772
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 4, 2011
Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
✔ NPI 1295014520 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 · 1510
4899 MILLER TRUNK HWY STE 208, Hermantown, MN 55811
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Bakka

Other Identifiers 2

Medicaid1295014520MN
Medicaid1295014520WI

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

Kimberly Ann Johnson Cnp 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 ID1759554892
PECOS Enrollment IDI20111104000415
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 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.

MS. VICTORIA LEE SWANSON LICSW
Social Worker (Clinical)
4899 MILLER TRUNK HWY STE 208
HERMANTOWN, MN 55811
St. Louis County (218) 727-3888
NORTHERN WATERS CLINIC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4899 MILLER TRUNK HWY STE 208
HERMANTOWN, MN 55811
St. Louis County (218) 391-9860
MELISSA ANN MAKI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4899 MILLER TRUNK HWY STE 208
HERMANTOWN, MN 55811
St. Louis County (218) 727-3888

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 Kimberly Johnson's NPI number?

The NPI number for Kimberly Johnson is 1295014520. It was assigned to this individual provider in the NPPES registry on August 4, 2011. The provider is also known as Kimberly Bakka.

Where is Kimberly Johnson located?

Kimberly Johnson practices at 4899 Miller Trunk Hwy Ste 208, Hermantown, MN 55811. The listed phone number is (218) 727-3888.

What is Kimberly Johnson's specialty?

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

Is Kimberly Johnson enrolled in Medicare?

Yes. Kimberly 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 Kimberly Johnson accept?

Health plans from HealthPartners list Kimberly 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 Kimberly Johnson was last updated on March 17, 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.