JEREMIAH JOHNSON A-GNP
NPI 1710548862
Nurse Practitioner in Fargo, ND
About Jeremiah Johnson A-gnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMIAH JOHNSON A-GNP (NPI 1710548862) is an individual nurse practitioner in Fargo, North Dakota, licensed in North Dakota (R39076) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Prairie Ridge Hospital And Health Services, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Jeremiah Johnson A-gnp 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 Reassignment
Medicare enrollment records show Jeremiah Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fargo, ND 58102
- Reassigned Medicare billing, North Dakota enrollment
- 1,464 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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Prairie Ridge Hospital And Health Services
Critical Access Hospitals · Elbow Lake, MNSanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Jeremiah Johnson's NPI number?
The NPI number for Jeremiah Johnson is 1710548862. It was assigned to this individual provider in the NPPES registry on June 27, 2019.
Where is Jeremiah Johnson located?
Jeremiah Johnson practices at 736 Broadway N, Fargo, ND 58102. The listed phone number is (701) 234-2000.
What is Jeremiah Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jeremiah Johnson enrolled in Medicare?
Yes. Jeremiah 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 organization bills Medicare for Jeremiah Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Johnson reassigns Medicare benefits to Sanford Medical Center Fargo (Fargo, ND). The 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 Jeremiah Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremiah Johnson accept?
Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Jeremiah 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.
Is Jeremiah Johnson affiliated with any hospitals?
According to CMS data, Jeremiah Johnson is affiliated with Prairie Ridge Hospital And Health Services and Sanford Medical Center Fargo.
When was this NPI record last updated?
The NPPES record for Jeremiah Johnson was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jeremiah Johnson, A-GNP · NPI 1710548862
Nurse Practitioner physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since June 27, 2019.
## Identity
- **NPI:** 1710548862 (Entity type: Individual)
- **Enumerated:** June 27, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R39076 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 736 BROADWAY N, Fargo, ND 58102-4421
- **Phone:** (701) 234-2000
## 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:** Sanford Medical Center Fargo (NPI 1952323974, Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710548862) · Data from the CMS NPPES public registry.