KALIE JOHNSON PA
NPI 1457739773
Physician Assistant - Surgical in Saint Cloud, MN

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment
1406 6TH AVE N, SAINT CLOUD, MN 56303(320) 251-2700 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2021, Nov 16, 2020 (2 updates tracked since 2020).

About Kalie Johnson Pa NPPES

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

KALIE JOHNSON PA (NPI 1457739773) is an individual surgical provider in Saint Cloud, Minnesota and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457739773
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKALIE JOHNSONCredential: PA
Location Address1406 6TH AVE NSaint Cloud, MN 56303-1901
Mailing Address6811 Nicollet AveRichfield, MN 55423-2467
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 7, 2015
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMarch 25, 2021
NPI 1457739773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
Also ListedPhysician AssistantTaxonomy 363A00000X
1406 6TH AVE N, Saint Cloud, MN 56303

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

Kalie Johnson Pa 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 ID1456765049
PECOS Enrollment IDI20210121002029
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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services50 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
16 services16 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
15 services15 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
13 services12 patients

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.

Pediatrics
1406 6TH AVE N
SAINT CLOUD, MN 56303
Clinical Exercise Physiologist
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Practitioner (Family)
1406 6TH AVE N
SAINT CLOUD, MN 56303
Pathology (Anatomic Pathology & Clinical Pathology)
1406 6TH AVE N
SAINT CLOUD, MN 56303
Nurse Practitioner (Family)
1406 6TH AVE N
SAINT CLOUD, MN 56303
Physician Assistant
1406 6TH AVE N
SAINT CLOUD, MN 56303
Pharmacist
1406 6TH AVE N
SAINT CLOUD, MN 56303
Physician Assistant
1406 6TH AVE N
SAINT CLOUD, MN 56303

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 Kalie Johnson's NPI number?

The NPI number for Kalie Johnson is 1457739773. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Where is Kalie Johnson located?

Kalie Johnson practices at 1406 6th Ave N, Saint Cloud, MN 56303. The listed phone number is (320) 251-2700.

What is Kalie Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kalie Johnson enrolled in Medicare?

Yes. Kalie 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 Kalie Johnson accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Kalie 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.

When was this NPI record last updated?

The NPPES record for Kalie Johnson was last updated on March 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.