JOHANNA KALLEMEYN FNP-C
NPI 1336687425
Nurse Practitioner - Family in Jackson, MN
About Johanna Kallemeyn Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHANNA KALLEMEYN FNP-C (NPI 1336687425) is an individual family provider in Jackson, Minnesota, licensed in South Dakota (CP001191) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jackson.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Johanna Kallemeyn Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Johanna Kallemeyn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MN 56143
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1083638357 (Minnesota)
- 44 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, Minnesota enrollment
- 57 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 56143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
JACKSON, MN 56143
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 Johanna Kallemeyn's NPI number?
The NPI number for Johanna Kallemeyn is 1336687425. It was assigned to this individual provider in the NPPES registry on February 8, 2017.
Where is Johanna Kallemeyn located?
Johanna Kallemeyn practices at 1430 North Hwy, Jackson, MN 56143. The listed phone number is (507) 847-2200.
What is Johanna Kallemeyn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Johanna Kallemeyn enrolled in Medicare?
Yes. Johanna Kallemeyn is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Johanna Kallemeyn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johanna Kallemeyn reassigns Medicare benefits to 2 organizations: Sanford Health Network (Jackson, MN) and Sanford Medical Center (Sioux Falls, SD). 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 Johanna Kallemeyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johanna Kallemeyn accept?
Health plans from Sanford Health Plan, Security Health Plan and Wellmark Health Plan of Iowa, Inc. list Johanna Kallemeyn 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 Johanna Kallemeyn was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Johanna Kallemeyn, FNP-C · NPI 1336687425
Family physician in Jackson, Minnesota. Individual provider, active in the CMS NPPES registry since February 8, 2017.
## Identity
- **NPI:** 1336687425 (Entity type: Individual)
- **Enumerated:** February 8, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CP001191 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1430 NORTH HWY, Jackson, MN 56143-1093
- **Phone:** (507) 847-2200 · **Fax:** (507) 847-3808
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Sanford Health Network (NPI 1326069097, Jackson, MN); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336687425) · Data from the CMS NPPES public registry.