Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MANDI LYNN JOHNSON MD
NPI 1639374960
Family Medicine in Grand Forks, ND

Active since June 18, 2007PECOS EnrolledAccepts Medicare Assignment
749 S 30TH ST APT 111, GRAND FORKS, ND 58201(701) 436-9525(800) 608-6469 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2025, Mar 8, 2021 (2 updates tracked since 2021).

About Dr. Mandi Lynn Johnson Md NPPES

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

DR. MANDI LYNN JOHNSON MD (NPI 1639374960) is an individual family medicine provider in Grand Forks, North Dakota, licensed in North Dakota (11698) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Park River, and is a graduate of University Of North Dakota School Of Medicine (2007).

NPPES Registry Identity

NPI1639374960
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MANDI LYNN JOHNSONCredential: MD
Location Address749 S 30TH ST APT 111Grand Forks, ND 58201-4076
Mailing AddressPo Box 6002Grand Forks, ND 58206-6002 · (701) 780-5000 · Fax (701) 777-6860
Fax(800) 608-6469
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2007
Enumeration DateJune 18, 2007
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1639374960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in ND · 11698 Licensed in ND · TRL10631 Licensed in ND · PT11698
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

749 S 30TH ST APT 111, Grand Forks, ND 58201

Secondary Practice Location 1

Location 1115 Vivian St WPark River, ND 58270-4540 · Phone (701) 284-7555 · Fax (701) 284-7568

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

Dr. Mandi Lynn Johnson Md 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 ID8022205855
PECOS Enrollment IDI20101206001256
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 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.

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 Mandi Johnson's NPI number?

The NPI number for Mandi Johnson is 1639374960. It was assigned to this individual provider in the NPPES registry on June 18, 2007.

Where is Mandi Johnson located?

Mandi Johnson practices at 749 S 30th St Apt 111, Grand Forks, ND 58201. The listed phone number is (701) 436-9525.

What is Mandi Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mandi Johnson enrolled in Medicare?

Yes. Mandi 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 Mandi Johnson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Mandi 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 Mandi Johnson was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.