HALEY LEE JOHNSON PA-C
NPI 1447803812
Physician Assistant in Minneapolis, MN

Active since July 24, 2019PECOS EnrolledAccepts Medicare Assignment
91.42/100
CMS Quality Rating
909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 273-8383 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2025, Feb 18, 2025, Jul 24, 2019 (3 updates tracked since 2019).

About Haley Lee Johnson Pa-c NPPES

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

HALEY LEE JOHNSON PA-C (NPI 1447803812) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (13084) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2019).

NPPES Registry Identity

NPI1447803812
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHALEY LEE JOHNSONCredential: PA-C
Location Address909 FULTON ST SEMinneapolis, MN 55455-4800
Mailing Address420 Delaware St Se Ste Mmc 292Minneapolis, MN 55455-6300
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2019
Enumeration DateJuly 24, 2019
Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
NPI 1447803812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 13084
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

909 FULTON ST SE, Minneapolis, MN 55455

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Haley Lee Johnson Pa-c 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 ID7315275609
PECOS Enrollment IDI20190823003312
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
142 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
52 services52 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240004
Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

91.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.78
Promoting Interoperability100
Improvement Activities40
Cost62.8

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.

Internal Medicine (Pulmonary Disease)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Internal Medicine (Gastroenterology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Neurological Surgery
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology & Oncology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Anesthesiology
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Psychologist (Clinical)
909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455
Psychiatry & Neurology (Neurology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455

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 Haley Johnson's NPI number?

The NPI number for Haley Johnson is 1447803812. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Haley Johnson located?

Haley Johnson practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-8383.

What is Haley Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Johnson enrolled in Medicare?

Yes. Haley 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.

What insurance does Haley Johnson accept?

Health plans from Medica list Haley Johnson 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.

Is Haley Johnson affiliated with any hospitals?

According to CMS data, Haley Johnson is affiliated with Hennepin County Medical Center and M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Haley Johnson was last updated on September 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.