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STACY LYNN JOHNSON FNP
NPI 1467894220
Nurse Practitioner - Family in Beulah, ND

Active since July 22, 2013PECOS Enrolled
420 CTY RD. 26, BEULAH, ND 58523(701) 873-6788 Get Directions Write a Review

NPPES record last updated: July 22, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stacy Lynn Johnson Fnp NPPES

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

STACY LYNN JOHNSON FNP (NPI 1467894220) is an individual family provider in Beulah, North Dakota, licensed in North Dakota (R34077) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467894220
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY LYNN JOHNSONCredential: FNP
Location Address420 CTY RD. 26Beulah, ND 58523
Mailing Address204 Main St WGolden Valley, ND 58541-7131 · (701) 870-0693
Phone(701) 873-6788
Sole ProprietorNo
Enumeration DateJuly 22, 2013
✔ NPI 1467894220 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 ND · R34077
420 CTY RD. 26, Beulah, ND 58523
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, 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)

Stacy Lynn Johnson Fnp 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 Reassignments

2

Medicare enrollment records show Stacy Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hazen Memorial Hospital Association
12 mi
Critical Access
510 8TH AVE NE
Hazen, ND 58545
  • Reassigned Medicare billing, North Dakota enrollment
  • 46 clinicians in this Medicare group
NPI 1700965696 (701) 748-2225
Ashley Medical Center
135 mi
Rural Health
510 S MAIN
Zeeland, ND 58581
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1740286616 (North Dakota)
  • 12 clinicians in this Medicare group
NPI 1295777951 (701) 288-3448

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 58523 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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 Stacy Johnson's NPI number?

The NPI number for Stacy Johnson is 1467894220. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Where is Stacy Johnson located?

Stacy Johnson practices at 420 Cty Rd. 26, Beulah, ND 58523. The listed phone number is (701) 873-6788.

What is Stacy Johnson's specialty?

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

Is Stacy Johnson enrolled in Medicare?

Yes. Stacy Johnson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacy Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Johnson reassigns Medicare benefits to 2 organizations: Hazen Memorial Hospital Association (Hazen, ND) and Ashley Medical Center (Zeeland, ND). 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 Stacy Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Johnson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Stacy 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 Stacy Johnson was last updated on July 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.