JODI LYNN JOHNSON NP
NPI 1689010357
Nurse Practitioner - Family in Maplewood, MN

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
2196 WHITE BEAR AVE N, MAPLEWOOD, MN 55109(866) 389-2727 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jodi Lynn Johnson Np NPPES

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

JODI LYNN JOHNSON NP (NPI 1689010357) is an individual family provider in Maplewood, Minnesota, licensed in Minnesota (3659) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689010357
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJODI LYNN JOHNSONCredential: NP
Location Address2196 WHITE BEAR AVE NMaplewood, MN 55109-2708
Mailing Address2196 White Bear Ave NMaplewood, MN 55109-2708 · (866) 389-2727
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 21, 2013
Last NPPES UpdateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1689010357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 3659
Also ListedRegistered NurseTaxonomy 163W00000X · License R1446142 (MN)
2196 WHITE BEAR AVE N, Maplewood, MN 55109

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

Jodi Lynn Johnson 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 ID42452286
PECOS Enrollment IDI20130816000794
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

7

Medicare enrollment records show Jodi Johnson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
1650 BEAM AVE STE 200
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Multi-Specialty
1747 BEAM AVE STE 100
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Clinic/Center
1414 MARYLAND AVE E
Saint Paul, MN 55106
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Family Medicine
1155 COUNTY ROAD E E, SUITE 100
Vadnais Heights, MN 55110
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,609 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Family
4241 JOHNNY CAKE RIDGE RD
Eagan, MN 55122
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Minuteclinic Diagnostic Of Minnesota PA
  • 89 clinicians in this Medicare group
Family
4241 JOHNNY CAKE RIDGE RD
Eagan, MN 55122
  • Reassigned Medicare billing, Minnesota enrollment
  • 56 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.

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.

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.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pharmacy
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Physician Assistant
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Pharmacist
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2196 WHITE BEAR AVE N
MAPLEWOOD, MN 55109

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 Jodi Johnson's NPI number?

The NPI number for Jodi Johnson is 1689010357. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Jodi Johnson located?

Jodi Johnson practices at 2196 White Bear Ave N, Maplewood, MN 55109. The listed phone number is (866) 389-2727.

What is Jodi Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jodi Johnson enrolled in Medicare?

Yes. Jodi 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 Jodi Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Johnson reassigns Medicare benefits to 7 organizations: Fairview Express Care (Maplewood, MN), Healtheast Medical Research Institute (Maplewood, MN), Fairview Clinics (Saint Paul, MN), Allina Health System (Vadnais Heights, MN), Fairview Health Services (Minneapolis, MN) and 2 more organizations, listed in the Medicare section above. 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 Jodi Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jodi Johnson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.