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BRYAN MIKAEL JOHNSON PA-C
NPI 1477106714
Physician Assistant in Fosston, MN

Active since July 16, 2019PECOS EnrolledAccepts Medicare Assignment
111 2ND ST NE, FOSSTON, MN 56542(218) 435-1111(218) 435-1112 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 24, 2026, Aug 29, 2023, Aug 22, 2022 and 2 more (5 updates tracked since 2019).

About Bryan Mikael Johnson Pa-c NPPES

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

BRYAN MIKAEL JOHNSON PA-C (NPI 1477106714) is an individual physician assistant in Fosston, Minnesota, licensed in Minnesota (13648) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Lifecare Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1477106714
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRYAN MIKAEL JOHNSONCredential: PA-C
Location Address111 2ND ST NEFosston, MN 56542-1301
Mailing Address111 2nd St NeFosston, MN 56542-1301 · (218) 435-1111 · Fax (218) 435-1117
Phone(218) 435-1111
Fax(218) 435-1112
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 16, 2019
Last NPPES UpdateApril 24, 20265 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1477106714 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 · 13648
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.
111 2ND ST NE, Fosston, MN 56542
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan Mikael 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 ID9638400898
PECOS Enrollment IDI20210517002409, I20210618000360
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.

Hospital Affiliations CMS Care Compare 4

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

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241344
Location715 Delmore DriveRoseau, MN 56751 · Roseau County
Emergency services

Essentia Health Fosston

Critical Access Hospitals · Fosston, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241357
Location900 Hilligoss Boulevard SEFosston, MN 56542 · Polk County
Emergency services

Sanford Thief River Falls Medical Center

Critical Access Hospitals · Thief River Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241381
Location3001 Sanford ParkwayThief River Falls, MN 56701 · Pennington County
Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56542 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRADLEY W NEUJAHR OD PA
Optometrist
111 2ND ST NE
FOSSTON, MN 56542
Polk County (218) 435-1010
MS. MAIJA L DUPPONG
Nurse Practitioner (Family)
111 2ND ST NE
FOSSTON, MN 56542
Polk County (218) 435-1111
SHEILA K TEIKEN APRN,CNP
Nurse Practitioner (Family)
111 2ND ST NE
FOSSTON, MN 56542
Polk County (218) 435-1111
SANFORD HEALTH OF NORTHERN MINNESOTA
Optometrist
111 2ND ST NE
FOSSTON, MN 56542
Polk County (218) 435-1010
MRS. NICOLE MARIE KIESOW PA-C
Physician Assistant
111 2ND ST NE
FOSSTON, MN 56542
Polk County (218) 435-1111
DR. CHERYL WHITE MD
Family Medicine
111 2ND ST NE
FOSSTON, MN 56542
Polk County (218) 435-1111
CARLIE J PLETSCHETT APRN, CNP
Nurse Practitioner (Family)
111 2ND ST NE
FOSSTON, MN 56542
Polk County (218) 435-1111
SANFORD HEALTH OF NORTHERN MINNESOTA
Eyewear Supplier
111 2ND ST NE
FOSSTON, MN 56542
Polk County (218) 435-1010

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 Bryan Johnson's NPI number?

The NPI number for Bryan Johnson is 1477106714. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Bryan Johnson located?

Bryan Johnson practices at 111 2nd St NE, Fosston, MN 56542. The listed phone number is (218) 435-1111.

What is Bryan Johnson's specialty?

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

Is Bryan Johnson enrolled in Medicare?

Yes. Bryan 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 Bryan Johnson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Bryan 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 Bryan Johnson affiliated with any hospitals?

According to CMS data, Bryan Johnson is affiliated with Lifecare Medical Center, Essentia Health Fosston, Sanford Thief River Falls Medical Center and Altru Hospital.

When was this NPI record last updated?

The NPPES record for Bryan Johnson was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.