ANJALI JOHNSON
NPI 1760150676
Nurse Practitioner - Family in Minneapolis, MN

Active since September 03, 2021PECOS EnrolledAccepts Medicare Assignment
525 PORTLAND AVE FL 4 MC 964, MINNEAPOLIS, MN 55415(612) 543-5555 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anjali Johnson NPPES

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

ANJALI JOHNSON (NPI 1760150676) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (9543) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760150676
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANJALI JOHNSON
Location Address525 PORTLAND AVE FL 4 MC 964Minneapolis, MN 55415-1533
Mailing Address525 Portland Ave Fl 4 Mc 964Minneapolis, MN 55415
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 3, 2021
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1760150676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · 9543
525 PORTLAND AVE FL 4 MC 964, Minneapolis, MN 55415

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

Anjali Johnson 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 ID7214391598
PECOS Enrollment IDI20230920000351
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 Reassignment

Medicare enrollment records show Anjali Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Federally Qualified Health Center (FQHC)
525 PORTLAND AVE # MC963
Minneapolis, MN 55415
  • Reassigned Medicare billing, Minnesota enrollment
  • 192 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240004
Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55415 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.

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 Anjali Johnson's NPI number?

The NPI number for Anjali Johnson is 1760150676. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Anjali Johnson located?

Anjali Johnson practices at 525 Portland Ave Fl 4 Mc 964, Minneapolis, MN 55415. The listed phone number is (612) 543-5555.

What is Anjali Johnson's specialty?

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

Is Anjali Johnson enrolled in Medicare?

Yes. Anjali 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 Anjali Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anjali Johnson reassigns Medicare benefits to Hennepin County (Minneapolis, MN). 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 Anjali Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Anjali Johnson affiliated with any hospitals?

According to CMS data, Anjali Johnson is affiliated with Hennepin County Medical Center.

When was this NPI record last updated?

The NPPES record for Anjali Johnson was last updated on August 1, 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.