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DR. TINA MARIE JOHNSON M.D.
NPI 1316004393
Internal Medicine in Woodbury, MN

Active since January 02, 2007Opted out of Medicare · through Apr 1, 2027
1875 WOODWINDS DR, WOODBURY, MN 55125(651) 232-6700 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tina Marie Johnson M.d. NPPES

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

DR. TINA MARIE JOHNSON M.D. (NPI 1316004393) is an individual internal medicine provider in Woodbury, Minnesota, licensed in Minnesota (48536) and active in the NPI registry since January 2007. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1316004393
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. TINA MARIE JOHNSONCredential: M.D.
Location Address1875 WOODWINDS DRWoodbury, MN 55125-2298
Mailing Address1875 Woodwinds DrWoodbury, MN 55125-2298 · (651) 232-6700
Phone(651) 232-6700
Sole ProprietorNo
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJune 17, 2008
✔ NPI 1316004393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 48536
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1875 WOODWINDS DR, Woodbury, MN 55125
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Tina Marie Johnson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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
$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 20

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

HEALTHEAST MEDICAL RESEARCH INSITITUE
Specialist
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-6800
MICHELE L PETERSON MD
Pediatrics
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-6700
MARK K THALACKER CNP
Nurse Practitioner
1875 WOODWINDS DR, SUITE 130
WOODBURY, MN 55125
Washington County (651) 232-0500
CHRISTIAN RICH MATTHEWS MD
Family Medicine (Sports Medicine)
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-6700
DR. AMY JANE ENGEBRETSON M.D.
Obstetrics & Gynecology
1875 WOODWINDS DR, SUITE 110
WOODBURY, MN 55125
Washington County (651) 686-6400
LAURA L BENIKE CPNP
Nurse Practitioner (Pediatrics)
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-6700
KAYLA R MCCLANAHAN RDN, LD, CNSC
Dietitian, Registered
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-6800
LINDA A GELLERMAN CNM
Midwife
1875 WOODWINDS DR
WOODBURY, MN 55125
Washington County (651) 232-0655

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 Tina Johnson's NPI number?

The NPI number for Tina Johnson is 1316004393. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Tina Johnson located?

Tina Johnson practices at 1875 Woodwinds Dr, Woodbury, MN 55125. The listed phone number is (651) 232-6700.

What is Tina Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tina Johnson enrolled in Medicare?

No. Tina Johnson has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tina Johnson was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.