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LUDMILA STANISLAVIVNA JOHNSON NP
NPI 1790062545
Nurse Practitioner - Family in Minneapolis, MN

Active since November 08, 2011PECOS EnrolledAccepts Medicare Assignment
82.34/100
CMS Quality Rating
516 DELAWARE ST SE, MINNEAPOLIS, MN 55455(612) 626-6688(612) 626-3217 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ludmila Stanislavivna Johnson Np NPPES

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

LUDMILA STANISLAVIVNA JOHNSON NP (NPI 1790062545) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (R 172283-7) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1790062545
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLUDMILA STANISLAVIVNA JOHNSONCredential: NP
Location Address516 DELAWARE ST SEMinneapolis, MN 55455-0356
Mailing Address420 Delaware St Se, Mmc 295Minneapolis, MN 55455-0341 · (612) 625-9900 · Fax (612) 625-7950
Phone(612) 626-6688
Fax(612) 626-3217
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 8, 2011
Last NPPES UpdateJanuary 13, 2012
✔ NPI 1790062545 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 · R 172283-7
516 DELAWARE ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Other Names 1

Former Name (1)Lyudmyla Goncharenko

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

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

Ludmila Stanislavivna 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 ID1153597398
PECOS Enrollment IDI20120110000384
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 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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
6,600 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
37 services33 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
33 services13 patients
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.
27 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Ridges Hospital

Acute Care Hospitals · Burnsville, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240207
Location201 East Nicollet BoulevardBurnsville, MN 55337 · Dakota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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.

82.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.54
Promoting Interoperability100
Improvement Activities40
Cost38.17

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.

ANDREA LYNN BERSHOW MD
Dermatology
516 DELAWARE ST SE, 4-240, PHILLIPS-WANGENSTEEN BLDG.
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-8625
UNIVERSITY OF MINNESOTA DEPARTMENT OF OPHTHALMOLOGY
Clinic/Center (Ophthalmologic Surgery)
516 DELAWARE ST SE, DEPARTMENT OF OPHTHALMOLOGY
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-4400
BROOKE KANEY MSW, LICSW
Social Worker (Clinical)
516 DELAWARE ST SE, CLINIC 1C
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-6191
HUDA SHEHEITLI M.D.
Ophthalmology
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 672-7422
JAMES EDWARD HINRICHS
Dentist (Periodontics)
516 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-3533
JOSE ERNESTO MOLINA MD
Surgery
516 DELAWARE ST SE, PWB THIRD FLOOR, CLINIC 3B
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-3600
DR. JEFFREY S MILLER MD
Internal Medicine (Hematology)
516 DELAWARE ST SE, SUITE 5-100, CLINIC 5B UNIVERSITY OF MINNESOTA PHYSICIA
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-2800
DR. MIRNA GEORGES BOUMITRI M.D.
Internal Medicine (Nephrology)
516 DELAWARE ST SE, CLINIC 2A
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-1687

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 Ludmila Johnson's NPI number?

The NPI number for Ludmila Johnson is 1790062545. It was assigned to this individual provider in the NPPES registry on November 8, 2011. The provider is also known as Lyudmyla Goncharenko.

Where is Ludmila Johnson located?

Ludmila Johnson practices at 516 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 626-6688.

What is Ludmila Johnson's specialty?

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

Is Ludmila Johnson enrolled in Medicare?

Yes. Ludmila 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.

What insurance does Ludmila Johnson accept?

Health plans from Medica and Sanford Health Plan list Ludmila 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 Ludmila Johnson affiliated with any hospitals?

According to CMS data, Ludmila Johnson is affiliated with M Health Fairview University Of Mn and M Health Fairview Ridges Hospital.

When was this NPI record last updated?

The NPPES record for Ludmila Johnson was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.