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NICOLE THERESA JOHNSON CNM
NPI 1477214351
Midwife in Sioux Falls, SD

Active since January 04, 2022PECOS Enrolled
1417 S CLIFF AVE STE 400A, SIOUX FALLS, SD 57105(605) 322-8946 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Theresa Johnson Cnm NPPES

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

NICOLE THERESA JOHNSON CNM (NPI 1477214351) is an individual midwife in Sioux Falls, South Dakota, licensed in South Dakota (CM000094) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477214351
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameNICOLE THERESA JOHNSONCredential: CNM
Location Address1417 S CLIFF AVE STE 400ASioux Falls, SD 57105-1064
Mailing Address3112 S 5th AveSioux Falls, SD 57105-5904 · (605) 351-4207
Phone(605) 322-8946
Sole ProprietorNo
Enumeration DateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1477214351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in SD · CM000094
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
1417 S CLIFF AVE STE 400A, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Theresa Johnson Cnm 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 Nicole Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Avera Mckennan
Same address
Maternal & Fetal Medicine
1417 S. CLIFF AVE., STE. 100
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1205808748 (605) 322-8937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1477214351. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Where is Nicole Johnson located?

Nicole Johnson practices at 1417 S Cliff Ave Ste 400A, Sioux Falls, SD 57105. The listed phone number is (605) 322-8946.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Nicole Johnson enrolled in Medicare?

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

Which organization bills Medicare for Nicole Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Johnson reassigns Medicare benefits to Avera Mckennan (Sioux Falls, SD). The 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 Nicole Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Johnson accept?

Health plans from Avera Health Plans, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Nicole 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 Nicole Johnson was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.