CORY JOSEPH JOHNSON APRN
NPI 1588428783
Nurse Practitioner - Psychiatric/Mental Health in Buffalo, MN

Active since February 08, 2024PECOS EnrolledAccepts Medicare Assignment
1702 SOUTHGATE DR, BUFFALO, MN 55313(320) 761-0057 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Cory Joseph Johnson Aprn NPPES

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

CORY JOSEPH JOHNSON APRN (NPI 1588428783) is an individual psychiatric/mental health provider in Buffalo, Minnesota, licensed in Minnesota (11270) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1588428783
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCORY JOSEPH JOHNSONCredential: APRN
Location Address1702 SOUTHGATE DRBuffalo, MN 55313-4479
Mailing Address1702 Southgate DrBuffalo, MN 55313-4479 · (320) 761-0057
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 8, 2024
NPPES CertifiedFebruary 8, 2024
✔ NPI 1588428783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 11270
1702 SOUTHGATE DR, Buffalo, MN 55313

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cory Joseph Johnson Aprn 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 ID42659443
PECOS Enrollment IDI20240418000868
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 Cory Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adult Mental Health
615 1ST AVE NE, SUITE 310
Minneapolis, MN 55413
  • Reassigned Medicare billing, Minnesota enrollment
  • 32 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55313 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.

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 Cory Johnson's NPI number?

The NPI number for Cory Johnson is 1588428783. It was assigned to this individual provider in the NPPES registry on February 8, 2024.

Where is Cory Johnson located?

Cory Johnson practices at 1702 Southgate Dr, Buffalo, MN 55313. The listed phone number is (320) 761-0057.

What is Cory Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Cory Johnson enrolled in Medicare?

Yes. Cory 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.

Which organization bills Medicare for Cory Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cory Johnson reassigns Medicare benefits to Mental Health Counseling Services, LLC (Minneapolis, MN). 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 Cory Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cory Johnson accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Cory 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 Cory Johnson was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.