NICOLE JOHNSON NP
NPI 1811635014
Nurse Practitioner - Family in Mahnomen, MN
About Nicole Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE JOHNSON NP (NPI 1811635014) is an individual family provider in Mahnomen, Minnesota, licensed in South Dakota (2022003041) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Riverview Hospital, and is a graduate of Other (2022).
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
Nicole 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
2Medicare enrollment records show Nicole Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fertile, MN 56540
- Reassigned Medicare billing, Minnesota enrollment
- 69 clinicians in this Medicare group
Roseau, MN 56751
- Reassigned Medicare billing, Minnesota enrollment
- 89 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.
Riverview Hospital
Critical Access Hospitals · Crookston, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56557 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nicole Johnson's NPI number?
The NPI number for Nicole Johnson is 1811635014. It was assigned to this individual provider in the NPPES registry on May 26, 2022.
Where is Nicole Johnson located?
Nicole Johnson practices at 410 W. 4th St, Mahnomen, MN 56557. The listed phone number is (218) 935-2514.
What is Nicole Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Johnson enrolled in Medicare?
Yes. Nicole 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 Nicole Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Johnson reassigns Medicare benefits to 2 organizations: Riverview Healthcare Association (Fertile, MN) and Lifecare Medical Center (Roseau, 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 Nicole Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Johnson accept?
Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Nicole 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 Nicole Johnson affiliated with any hospitals?
According to CMS data, Nicole Johnson is affiliated with Riverview Hospital.
When was this NPI record last updated?
The NPPES record for Nicole Johnson was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nicole Johnson, NP · NPI 1811635014
Family physician in Mahnomen, Minnesota. Individual provider, active in the CMS NPPES registry since May 26, 2022.
## Identity
- **NPI:** 1811635014 (Entity type: Individual)
- **Enumerated:** May 26, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2022003041 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 410 W. 4TH ST, Mahnomen, MN 56557
- **Phone:** (218) 935-2514
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Riverview Healthcare Association (NPI 1750671186, Fertile, MN); Lifecare Medical Center (NPI 1609861095, Roseau, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1811635014) · Data from the CMS NPPES public registry.