GREGORY M JOHNSON APRN,CNP
NPI 1437554482
Nurse Practitioner - Pediatrics in Park Rapids, MN

Q: What is Gregory Johnson's NPI number?

The NPI number for Gregory Johnson is 1437554482. It was assigned to this individual provider in the NPPES registry on November 1, 2014.

Q: What is Gregory Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Johnson was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 01, 2014PECOS Enrolled

705 PLEASANT AVE S, PARK RAPIDS, MN 56470(218) 732-2800(218) 732-2857 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 25, 2021, Dec 26, 2015 (2 updates tracked since 2015).

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About Gregory M Johnson Aprn,cnp NPPES

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

GREGORY M JOHNSON APRN,CNP (NPI 1437554482) is an individual pediatrics provider in Park Rapids, Minnesota, licensed in Minnesota (3084) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437554482

Entity TypeIndividualMale

Primary Taxonomy363LP0200X

Provider Legal NameGREGORY M JOHNSONCredential: APRN,CNP

Location Address705 PLEASANT AVE SPark Rapids, MN 56470-1440

Mailing Address1702 University Dr SFargo, ND 58103-4940

Phone(218) 732-2800

Fax(218) 732-2857

Sole ProprietorNo

Enumeration DateNovember 1, 2014

Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2021

✔ NPI 1437554482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

License✔ Licensed in MN · 3084

Also ListedRegistered NurseTaxonomy 163W00000X · License R 223267-2 (MN)

705 PLEASANT AVE S, Park Rapids, MN 56470

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Other Identifiers 1

Medicaid1437554482MN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gregory M Johnson Aprn,cnp 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.

Medicare Billing Reassignment

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

St Mary's Regional Health Center

Same address

Rural Health

705 PLEASANT AVE S
Park Rapids, MN 56470

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: St Marys Regional Health Center
254 clinicians in this Medicare group

NPI 1699955344 (218) 732-2800

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 56470 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.

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.

JONATHON R PETERSON PT

Physical Therapist