DR. MANDI LYNN JOHNSON MD
NPI 1639374960
Family Medicine in Grand Forks, ND
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
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mandi Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Park River, ND 58270
- Reassigned Medicare billing, North Dakota enrollment
- Also billed through NPI 1679669741 (North Dakota)
- 18 clinicians in this Medicare group
Bismarck, ND 58504
- Reassigned Medicare billing, North Dakota enrollment
- 779 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 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.
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.
Which organizations bill Medicare for Mandi Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandi Johnson reassigns Medicare benefits to 2 organizations: P R Health Corporation (Park River, ND) and Sanford Bismarck (Bismarck, ND). Each 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 Mandi Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mandi Johnson accept?
Health plans from Blue Cross Blue Shield of North Dakota 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Mandi Lynn Johnson, MD · NPI 1639374960
Family Medicine physician in Grand Forks, North Dakota. Individual provider, active in the CMS NPPES registry since June 18, 2007.
## Identity
- **NPI:** 1639374960 (Entity type: Individual)
- **Enumerated:** June 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 11698 (North Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 749 S 30TH ST APT 111, Grand Forks, ND 58201-4076
- **Phone:** (701) 436-9525 · **Fax:** (800) 608-6469
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): P R Health Corporation (NPI 1306850706, Park River, ND); Sanford Bismarck (NPI 1811941172, Bismarck, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Dakota School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** July 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639374960) · Data from the CMS NPPES public registry.