MS. SARA JOHNSON RD, LD, CDCES
NPI 1699714923
Dietitian, Registered - Nutrition, Metabolic in Minneapolis, MN

Active since June 05, 2006Accepts Medicare Assignment
909 FULTON ST SE, MINNEAPOLIS, MN 55455(612) 273-8383 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Ms. Sara Johnson Rd, Ld, Cdces NPPES

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

MS. SARA JOHNSON RD, LD, CDCES (NPI 1699714923) is an individual nutrition, metabolic provider in Minneapolis, Minnesota, licensed in Minnesota (1944) and active in the NPI registry since June 2006. She is a graduate of Other (1997).

NPPES Registry Identity

NPI1699714923
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameMS. SARA JOHNSONCredential: RD, LD, CDCES
Location Address909 FULTON ST SEMinneapolis, MN 55455-4800
Mailing Address909 Fulton St SeMinneapolis, MN 55455-4800 · (612) 625-8690
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJune 5, 2006
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1699714923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in MN · 1944
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
909 FULTON ST SE, Minneapolis, MN 55455

Other Identifiers 4

Other900233283MN · Rr Medicare
Other6300309MN · Select Care
Other2182695FM · America's Ppo
Other6300309MN · Medica

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

Ms. Sara Johnson Rd, Ld, Cdces 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 ID42284291
PECOS Enrollment IDI20040825001516

Medicare Billing Reassignments

4

Medicare enrollment records show Sara Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Anesthesiology
909 FULTON ST SE
Minneapolis, MN 55455
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,662 clinicians in this Medicare group
Primary Care
2535 UNIVERSITY AVE SE
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 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

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

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.

Internal Medicine (Pulmonary Disease)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Internal Medicine (Gastroenterology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Neurological Surgery
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
909 FULTON ST SE, 3RD FLOOR, CLINIC AND SURGERY CENTER
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology & Oncology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Anesthesiology
909 FULTON ST SE
MINNEAPOLIS, MN 55455
Psychologist (Clinical)
909 FULTON ST SE, BUILDING 2
MINNEAPOLIS, MN 55455
Psychiatry & Neurology (Neurology)
909 FULTON ST SE
MINNEAPOLIS, MN 55455

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 Sara Johnson's NPI number?

The NPI number for Sara Johnson is 1699714923. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Sara Johnson located?

Sara Johnson practices at 909 Fulton St SE, Minneapolis, MN 55455. The listed phone number is (612) 273-8383.

What is Sara Johnson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

Is Sara Johnson enrolled in Medicare?

Yes. Sara 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 Sara Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Johnson reassigns Medicare benefits to 4 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), Fairview Clinics (Minneapolis, MN) and Fairview Health Services (Minneapolis, MN). 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 Sara Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Johnson accept?

Health plans from Medica and Sanford Health Plan list Sara 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 Sara Johnson was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.