JOHANNA KALLEMEYN FNP-C
NPI 1336687425
Nurse Practitioner - Family in Jackson, MN

Q: 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.

Q: What is Johanna Kallemeyn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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.

Active since February 08, 2017PECOS Enrolled

82.28/100

CMS Quality Rating

1430 NORTH HWY, JACKSON, MN 56143(507) 847-2200(507) 847-3808 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2019, Feb 8, 2017 (2 updates tracked since 2017).

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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

NPI1336687425

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJOHANNA KALLEMEYNCredential: FNP-C

Location Address1430 NORTH HWYJackson, MN 56143-1093

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6585

Phone(507) 847-2200

Fax(507) 847-3808

Sole ProprietorNo

Enumeration DateFebruary 8, 2017

Last NPPES UpdateMarch 30, 20222 updates tracked since enumeration

NPPES CertifiedMarch 30, 2022

✔ NPI 1336687425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SD · CP001191

1430 NORTH HWY, Jackson, MN 56143

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Secondary Practice Location 1

Location 11430 North HwyJackson, MN 56143-1093 · Phone (507) 847-2200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johanna Kallemeyn Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

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.

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.

82.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.81

Promoting Interoperability

Improvement Activities

Cost

52.95

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers15 claims23 services$4.30 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers19 claims19 services$18.71 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers48 claims48 services$47.73 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier21 claims21 services$184.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LAURA DAVIS HUGGINS M.D.

Family Medicine