LUDMILA STANISLAVIVNA JOHNSON NP
NPI 1790062545
Nurse Practitioner - Family in Minneapolis, MN
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
Specialties & Licenses
Other Names 1
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Ludmila Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 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.
M Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNM Health Fairview Ridges Hospital
Acute Care Hospitals · Burnsville, MNPhysician 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.
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.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 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.
Which organizations bill Medicare for Ludmila Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ludmila Johnson reassigns Medicare benefits to 4 organizations: University Of Minnesota Physicians (Minneapolis, MN), Fairview Express Care (Minneapolis, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN) and Fairview Specialty 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 Ludmila Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ludmila Johnson accept?
Health plans from 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.
# Ludmila Stanislavivna Johnson, NP · NPI 1790062545
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since November 8, 2011.
## Identity
- **NPI:** 1790062545 (Entity type: Individual)
- **Enumerated:** November 8, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R 172283-7 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 DELAWARE ST SE, Minneapolis, MN 55455-0356
- **Phone:** (612) 626-6688 · **Fax:** (612) 626-3217
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); Fairview Express Care (NPI 1629224258, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 13, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1790062545) · Data from the CMS NPPES public registry.