KERRY A JOHNSON CNP-FNP-DNP
NPI 1477504058
Nurse Practitioner - Family in Burnsville, MN

Q: What is Kerry Johnson's NPI number?

The NPI number for Kerry Johnson is 1477504058. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Kerry Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kerry Johnson was last updated on February 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 16, 2006PECOS Enrolled

14000 NICOLLET AVE STE 100, BURNSVILLE, MN 55337(952) 428-0200 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kerry A Johnson Cnp-fnp-dnp NPPES

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

KERRY A JOHNSON CNP-FNP-DNP (NPI 1477504058) is an individual family provider in Burnsville, Minnesota, licensed in Minnesota (2764) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1477504058

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKERRY A JOHNSONCredential: CNP-FNP-DNP

Location Address14000 NICOLLET AVE STE 100Burnsville, MN 55337-5793

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000

Phone(952) 428-0200

Sole ProprietorNo

Enumeration DateMay 16, 2006

Last NPPES UpdateFebruary 16, 2018

✔ NPI 1477504058 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 MN · 2764

14000 NICOLLET AVE STE 100, Burnsville, MN 55337

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Secondary Practice Location 1

Location 12004 Randolph Ave, Whitby Hall #431Saint Paul, MN 55105-1750 · Phone (651) 690-6714

Other Identifiers 1

Medicaid111925000MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry A Johnson Cnp-fnp-dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55337 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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