SANDRA J JOHNSON APNP
NPI 1316415516
Nurse Practitioner - Psychiatric/Mental Health in Hayward, WI

Q: What is Sandra Johnson's NPI number?

The NPI number for Sandra Johnson is 1316415516. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Q: What is Sandra 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 Sandra Johnson was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 06, 2018PECOS EnrolledAccepts Medicare Assignment

13380 W TREPANIA RD, HAYWARD, WI 54843(715) 638-5100(715) 634-2740 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2024, Mar 5, 2024, Jan 13, 2023 and 1 more (4 updates tracked since 2018).

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About Sandra J Johnson Apnp NPPES

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

SANDRA J JOHNSON APNP (NPI 1316415516) is an individual psychiatric/mental health provider in Hayward, Wisconsin, licensed in Wisconsin (13466) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316415516

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSANDRA J JOHNSONCredential: APNP

Location Address13380 W TREPANIA RDHayward, WI 54843-2186

Mailing Address13380 W Trepania RdHayward, WI 54843-2186 · (715) 638-5100 · Fax (715) 634-2740

Phone(715) 638-5100

Fax(715) 634-2740

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 6, 2018

Last NPPES UpdateOctober 8, 20244 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1316415516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

License✔ Licensed in WI · 13466

Also ListedRegistered NurseTaxonomy 163W00000X · License 234311-30 (WI)

13380 W TREPANIA RD, Hayward, WI 54843

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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

Sandra J Johnson Apnp 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 ID1557733920

PECOS Enrollment IDI20230213000035

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 Reassignment

Medicare enrollment records show Sandra Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lac Courte Oreilles Governing

8.8 mi

Clinic/Center

9940 N COUNTY HWY K
Hayward, WI 54843

Reassigned Medicare billing, Wisconsin enrollment
Medicare enrollment name: Lac Courte Oreilles Governing Board
26 clinicians in this Medicare group

NPI 1194830208 (715) 638-5169

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 54843 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

MS. SANDRA ZEZNANSKI RD CDE

Dietitian, Registered