KATHLEEN JOHNSON RNC,NP
NPI 1609965854
Specialist in Minneapolis, MN

Q: What is Kathleen Johnson's NPI number?

The NPI number for Kathleen Johnson is 1609965854. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Kathleen Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 12, 2006PECOS EnrolledAccepts Medicare Assignment

121 S 8TH ST STE 600, MINNEAPOLIS, MN 55402(612) 333-4822(612) 333-3108 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathleen Johnson Rnc,np NPPES

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

KATHLEEN JOHNSON RNC,NP (NPI 1609965854) is an individual specialist in Minneapolis, Minnesota, licensed in Minnesota (R0979500) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1609965854

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameKATHLEEN JOHNSONCredential: RNC,NP

Location Address121 S 8TH ST STE 600Minneapolis, MN 55402-2825

Mailing Address121 S 8th St Ste 600Minneapolis, MN 55402-2825 · (612) 333-4822 · Fax (612) 333-3108

Phone(612) 333-4822

Fax(612) 333-3108

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateOctober 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609965854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MN · R0979500

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

121 S 8TH ST STE 600, Minneapolis, MN 55402

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Other Identifiers 2

OtherR09799500MN · License

OtherR097950-0MN · License

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 and accepts Medicare assignment

Kathleen Johnson Rnc,np 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 ID4981875879

PECOS Enrollment IDI20110926000845

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY MORRISON MD

Obstetrics & Gynecology