MRS. KYRSTEN ANN JOHNSON M.D.
NPI 1487997037
Pediatrics in Maple Grove, MN

Q: What is Kyrsten Johnson's NPI number?

The NPI number for Kyrsten Johnson is 1487997037. It was assigned to this individual provider in the NPPES registry on April 2, 2013. The provider is also known as Kyrsten Ann Kelley.

Q: What is Kyrsten Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kyrsten Johnson was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 02, 2013PECOS Enrolled

12000 ELM CREEK BLVD N, SUITE 250, MAPLE GROVE, MN 55369(952) 401-8300(952) 401-8242 Get Directions Write a Review

NPPES record last updated: September 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2017, May 13, 2016 (2 updates tracked since 2016).

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About Mrs. Kyrsten Ann Johnson M.d. NPPES

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

MRS. KYRSTEN ANN JOHNSON M.D. (NPI 1487997037) is an individual pediatrics provider in Maple Grove, Minnesota, licensed in Minnesota (60466) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487997037

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. KYRSTEN ANN JOHNSONCredential: M.D.

Location Address12000 ELM CREEK BLVD N, SUITE 250Maple Grove, MN 55369-7073

Mailing Address17705 Hutchins Dr., # 250Minnetonka, MN 55345 · (952) 401-8300 · Fax (952) 401-8242

Phone(952) 401-8300

Fax(952) 401-8242

Sole ProprietorNo

Enumeration DateApril 2, 2013

Last NPPES UpdateSeptember 19, 20172 updates tracked since enumeration

✔ NPI 1487997037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 60466

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

12000 ELM CREEK BLVD N, Maple Grove, MN 55369

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Other Names 1

Former Name (1)Kyrsten Ann Kelley

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kyrsten Ann Johnson M.d. 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 55369 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.

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.

JAMIE LAWLESS CMT

Contractor

12000 ELM CREEK BLVD N, SUITE L70
MAPLE GROVE, MN 55369

Hennepin County (763) 463-9444

SHANE A. BORODITSKY, P.A.

Chiropractor

12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369

Hennepin County (612) 281-3575

MIRTHA NESHEIM M.D.

Family Medicine

12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369

Hennepin County (763) 420-5822

MS. GAY WYNNE LENTFER PA

Physician Assistant

12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369

Hennepin County (763) 420-5822

MICHAEL A GALLAGHER FNP

Nurse Practitioner (Occupational Health)

12000 ELM CREEK BLVD N, #140
MAPLE GROVE, MN 55369

Hennepin County (763) 420-7048

JAMIE L SLEDD

Clinic/Center (Dental)

12000 ELM CREEK BLVD N, SUITE 230
MAPLE GROVE, MN 55369

Hennepin County (763) 494-4443

DR. JAMIE LIN SLEDD DDS

Dentist (General Practice)

12000 ELM CREEK BLVD N, SUITE 230
MAPLE GROVE, MN 55369

Hennepin County (763) 494-4443

KAREN LYNN SCULLY ATC

Specialist/Technologist (Athletic Trainer)

12000 ELM CREEK BLVD N, #120
MAPLE GROVE, MN 55369

Hennepin County (763) 420-9960

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 Kyrsten Johnson's NPI number?

The NPI number for Kyrsten Johnson is 1487997037. It was assigned to this individual provider in the NPPES registry on April 2, 2013. The provider is also known as Kyrsten Ann Kelley.

Where is Kyrsten Johnson located?

Kyrsten Johnson practices at 12000 Elm Creek Blvd N Suite 250, Maple Grove, MN 55369. The listed phone number is (952) 401-8300.

What is Kyrsten Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kyrsten Johnson enrolled in Medicare?

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

What insurance does Kyrsten Johnson accept?

Health plans from HealthPartners and Medica list Kyrsten 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 Kyrsten Johnson was last updated on September 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.