MATTHEW MICHAEL JOHNSON DO
NPI 1396173746
Psychiatry & Neurology - Psychiatry in Fridley, MN
About Matthew Michael Johnson Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW MICHAEL JOHNSON DO (NPI 1396173746) is an individual psychiatry provider in Fridley, Minnesota, licensed in Minnesota (78037) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2021).
NPPES Registry Identity
Specialties & Licenses
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
Matthew Michael Johnson Do 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.
Medicare Billing Reassignments
3Medicare enrollment records show Matthew Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fridley, MN 55432
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1912203365 (Minnesota)
- 3,733 clinicians in this Medicare group
Chanhassen, MN 55317
- Reassigned Medicare billing, Minnesota enrollment
- 581 clinicians in this Medicare group
Dallas Center, IA 50063
- Reassigned Medicare billing, Iowa enrollment
- 518 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital
Acute Care Hospitals · Coon Rapids, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55432 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.
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.
FRIDLEY, MN 55432
FRIDLEY, MN 55432
FRIDLEY, MN 55432
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 Matthew Johnson's NPI number?
The NPI number for Matthew Johnson is 1396173746. It was assigned to this individual provider in the NPPES registry on October 23, 2013.
Where is Matthew Johnson located?
Matthew Johnson practices at 520 Osborne Rd NE Ste 210, Fridley, MN 55432. The listed phone number is (763) 236-3800.
What is Matthew Johnson's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Matthew Johnson enrolled in Medicare?
Yes. Matthew 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.
Which organizations bill Medicare for Matthew Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Johnson reassigns Medicare benefits to 3 organizations: Allina Health System (Fridley, MN), Ridgeview Medical Center (Chanhassen, MN) and Broadlawns Medical Center (Dallas Center, IA). 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 Matthew Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Matthew Johnson affiliated with any hospitals?
According to CMS data, Matthew Johnson is affiliated with Mercy Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Johnson was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.
# Matthew Michael Johnson, DO · NPI 1396173746
Psychiatry physician in Fridley, Minnesota. Individual provider, active in the CMS NPPES registry since October 23, 2013.
## Identity
- **NPI:** 1396173746 (Entity type: Individual)
- **Enumerated:** October 23, 2013
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 78037 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 OSBORNE RD NE STE 210, Fridley, MN 55432-2718
- **Phone:** (763) 236-3800 · **Fax:** (763) 236-3821
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1083197214, Fridley, MN); Ridgeview Medical Center (NPI 1558142869, Chanhassen, MN); Broadlawns Medical Center (NPI 1467850727, Dallas Center, IA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2021
## Record status
- **NPPES last updated:** September 29, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1396173746) · Data from the CMS NPPES public registry.