KRISTEN AILI JOHNSON PMHNP-BC, FNP-C
NPI 1629679782
Nurse Practitioner - Psychiatric/Mental Health in Grand Forks, ND

Q: What is Kristen Johnson's NPI number?

The NPI number for Kristen Johnson is 1629679782. It was assigned to this individual provider in the NPPES registry on November 5, 2020.

Q: What is Kristen Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristen Johnson was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 November 05, 2020PECOS EnrolledAccepts Medicare Assignment

3674 S WASHINGTON ST, GRAND FORKS, ND 58201(701) 205-3000 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Jan 21, 2026, Mar 7, 2023 and 3 more (6 updates tracked since 2020).

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About Kristen Aili Johnson Pmhnp-bc, Fnp-c NPPES

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

KRISTEN AILI JOHNSON PMHNP-BC, FNP-C (NPI 1629679782) is an individual psychiatric/mental health provider in Grand Forks, North Dakota, licensed in North Dakota (R53273) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1629679782

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKRISTEN AILI JOHNSONCredential: PMHNP-BC, FNP-C

Location Address3674 S WASHINGTON STGrand Forks, ND 58201

Mailing AddressPo Box 84101Seattle, WA 98124-5401 · (907) 335-7500

Phone(701) 205-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 5, 2020

Last NPPES UpdateApril 13, 20266 updates tracked since enumeration

NPPES CertifiedApril 13, 2026

✔ NPI 1629679782 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 ND · R53273

3674 S WASHINGTON ST, Grand Forks, ND 58201

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1206 W Rockwell AveSoldotna, AK 99669-7439 · Phone (907) 335-7500

Location 2508 Upland StKenai, AK 99611-8026 · Phone (907) 335-7500

Other Identifiers 3

OtherQ00086344Rr Ptan

Medicaid1733819AK

Other15154247Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Moda Health Plan, Inc. and more.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

Kristen Aili Johnson Pmhnp-bc, Fnp-c 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 ID6608275284

PECOS Enrollment IDI20210602001245, I20221013003322, I20221205002891, I20230524000349, I20251121000056

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 Reassignments

Medicare enrollment records show Kristen Johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peterson Medical Clinics, LLC

Same address

Multi-Specialty

3674 S WASHINGTON ST
Grand Forks, ND 58201

Reassigned Medicare billing, Alaska, Minnesota, Montana, North Dakota and Texas enrollments
70 clinicians in this Medicare group

NPI 1699295774 (701) 205-3000

Cowlitz Indian Tribe

1,217 mi

Rehabilitation, Substance Use Disorder

7105 NE 40TH ST
Vancouver, WA 98661

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Bristol Bay Area Health Corporation
360 clinicians in this Medicare group

NPI 1538412630 (360) 353-9431

Eastern Aleutian Tribes, Inc

1,454 mi

Clinic/Center

172 MAIN STREET
Sand Point, AK 99661

Reassigned Medicare billing, Texas enrollment
50 clinicians in this Medicare group

NPI 1346662608 (907) 383-3515

Kenaitze Indian Tribe

2,280 mi

Federally Qualified Health Center (FQHC)

206 W ROCKWELL AVE
Soldotna, AK 99669

Reassigned Medicare billing, Alaska enrollment
40 clinicians in this Medicare group

NPI 1194603076 (907) 335-7200

Norton Sound Health Corporation

2,709 mi

Critical Access

1000 GREG KRUSCHEK AVE
Nome, AK 99762

Reassigned Medicare billing, Alaska enrollment
Also billed through NPI 1225101041 (Alaska)
193 clinicians in this Medicare group

NPI 1154358232 (907) 443-3311

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

Areas of Expertise CMS Part B claims 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

107 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

98 services26 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

40 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

SHERBIE DARBOUZE PA-C

Physician Assistant