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: August 02, 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, and ordering and referring status from the CMS PECOS system.

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.

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 10

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.

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 10 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.