MRS. MARY JO JOHNSON CNM, CNP
NPI 1578550992
Advanced Practice Midwife in Edina, MN

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
86.51/100
CMS Quality Rating
3625 W 65TH ST STE 100, EDINA, MN 55435(952) 920-7001 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mary Jo Johnson Cnm, Cnp NPPES

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

MRS. MARY JO JOHNSON CNM, CNP (NPI 1578550992) is an individual advanced practice midwife in Edina, Minnesota, licensed in Minnesota (R123626-8) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in Cloquet.

NPPES Registry Identity

NPI1578550992
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMRS. MARY JO JOHNSONCredential: CNM, CNP
Location Address3625 W 65TH ST STE 100Edina, MN 55435-2147
Mailing Address15014 Bridgewater DrSavage, MN 55378-5618 · (218) 340-7369
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1999
Enumeration DateSeptember 30, 2005
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
NPI 1578550992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in MN · R123626-8
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R123626-8 (MN)
3625 W 65TH ST STE 100, Edina, MN 55435

Secondary Practice Location 1

Location 1927 Trettel LnCloquet, MN 55720-1345 · Phone (218) 879-1227 ext. 2169 · Fax (218) 878-2136

Other Identifiers 1

Medicaid642215200MN

Accepted 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

Mrs. Mary Jo Johnson Cnm, Cnp 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 ID1254376353
PECOS Enrollment IDI20050620000844
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

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.59
Promoting Interoperability100
Improvement Activities40
Cost67.96

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.

Obstetrics & Gynecology
3625 W 65TH ST STE 100
EDINA, MN 55435
Advanced Practice Midwife
3625 W 65TH ST STE 100
EDINA, MN 55435
Obstetrics & Gynecology
3625 W 65TH ST STE 100
EDINA, MN 55435
Advanced Practice Midwife
3625 W 65TH ST STE 100
EDINA, MN 55435
Obstetrics & Gynecology
3625 W 65TH ST STE 100
EDINA, MN 55435
Obstetrics & Gynecology
3625 W 65TH ST STE 100
EDINA, MN 55435
Nurse Practitioner (Women's Health)
3625 W 65TH ST STE 100
EDINA, MN 55435
Advanced Practice Midwife
3625 W 65TH ST STE 100
EDINA, MN 55435

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 Mary Johnson's NPI number?

The NPI number for Mary Johnson is 1578550992. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Mary Johnson located?

Mary Johnson practices at 3625 W 65th St Ste 100, Edina, MN 55435. The listed phone number is (952) 920-7001.

What is Mary Johnson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Mary Johnson enrolled in Medicare?

Yes. Mary 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 Mary Johnson accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Mary 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 Mary Johnson affiliated with any hospitals?

According to CMS data, Mary Johnson is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Mary Johnson was last updated on February 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.