NICOLE JOHNSON NP
NPI 1811635014
Nurse Practitioner - Family in Mahnomen, MN

Active since May 26, 2022PECOS EnrolledAccepts Medicare Assignment
410 W. 4TH ST, MAHNOMEN, MN 56557(218) 935-2514 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1811635014
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE JOHNSONCredential: NP
Location Address410 W. 4TH STMahnomen, MN 56557
Mailing Address47639 192nd StBrandt, SD 57218-5731 · (218) 280-1024
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 26, 2022
NPPES CertifiedMay 11, 2022
NPI 1811635014 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 SD · 2022003041
410 W. 4TH ST, Mahnomen, MN 56557

Accepted 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

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.

PECOS PAC ID1759814692
PECOS Enrollment IDI20241030001938
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.

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, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241320
Location323 South MinnesotaCrookston, MN 56716 · Polk County
Emergency services

Physician 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.

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 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.

What insurance does Nicole Johnson accept?

Health plans from Medica and Sanford 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.