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THOMAS JOHNSON III APRN, CNP
NPI 1609051168
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MN

Active since January 03, 2008PECOS EnrolledAccepts Medicare Assignment
516 S POKEGAMA AVE, GRAND RAPIDS, MN 55744(218) 327-2001(218) 302-1457 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Johnson Iii Aprn, Cnp NPPES

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

THOMAS JOHNSON III APRN, CNP (NPI 1609051168) is an individual psychiatric/mental health provider in Grand Rapids, Minnesota, licensed in Minnesota (2950) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of University Of North Dakota School Of Medicine (2013).

NPPES Registry Identity

NPI1609051168
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTHOMAS JOHNSON IIICredential: APRN, CNP
Location Address516 S POKEGAMA AVEGrand Rapids, MN 55744-3820
Mailing Address516 S Pokegama AveGrand Rapids, MN 55744-3820 · (218) 302-4468 · Fax (218) 302-1457
Phone(218) 327-2001
Fax(218) 302-1457
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2013
Enumeration DateJanuary 3, 2008
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1609051168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 2950
Also ListedRegistered NurseTaxonomy 163W00000X · License R 179591-6 (MN)
516 S POKEGAMA AVE, Grand Rapids, MN 55744
Open in Google Maps ↗

Secondary Practice Location 1

Location 12310 NW 3rd StGrand Rapids, MN 55744-2135 · Phone (218) 302-4468

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.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

Thomas Johnson Iii Aprn, 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 ID1254566557
PECOS Enrollment IDI20131022001141
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 55744 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.

BRET DECKER CAS, ADC-T
Counselor (Addiction (Substance Use Disorder))
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-2001
MEGHAN KAY HODGE
Social Worker (Clinical)
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-2001
STENLUND PSYCHOLOGICAL SERVICES LLC
Community/Behavioral Health
516 S POKEGAMA AVE, SUITE B
GRAND RAPIDS, MN 55744
Itasca County (218) 327-8937
LAKEVIEW BEHAVIORAL HEALTH INC.
Community/Behavioral Health
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-2001
ANGELA DAWN THOMAS MA, LPCC, LADC
Counselor (Professional)
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-2001
BIRCHTREE HEALTH PLLC
Clinic/Center (Primary Care)
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 256-4456
ROGER P WATTS
Counselor (Addiction (Substance Use Disorder))
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-2001
DIANE DEBRA LEADERS MSW, LICSW
Social Worker (Clinical)
516 S POKEGAMA AVE
GRAND RAPIDS, MN 55744
Itasca County (218) 327-2001

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 Thomas Johnson's NPI number?

The NPI number for Thomas Johnson is 1609051168. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Where is Thomas Johnson located?

Thomas Johnson practices at 516 S Pokegama Ave, Grand Rapids, MN 55744. The listed phone number is (218) 327-2001.

What is Thomas Johnson's specialty?

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

Is Thomas Johnson enrolled in Medicare?

Yes. Thomas 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 Thomas Johnson accept?

Health plans from HealthPartners and Providence Health Plan list Thomas 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 Thomas Johnson was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.