JENNIFER JORAY JOHNSON
NPI 1811734304
Nurse Practitioner - Family in Maplewood, MN

Active since July 11, 2024PECOS EnrolledAccepts Medicare Assignment
2945 HAZELWOOD ST, MAPLEWOOD, MN 55109(651) 232-6700 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jennifer Joray Johnson NPPES

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

JENNIFER JORAY JOHNSON (NPI 1811734304) is an individual family provider in Maplewood, Minnesota, licensed in Minnesota (11754) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811734304
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER JORAY JOHNSON
Location Address2945 HAZELWOOD STMaplewood, MN 55109-1241
Mailing Address6269 Dallas Ct NMaple Grove, MN 55311-4242 · (507) 254-1298
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 11, 2024
NPPES CertifiedJune 17, 2024
✔ NPI 1811734304 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 · 11754
2945 HAZELWOOD ST, Maplewood, MN 55109

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

Jennifer Joray 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 ID9234678418
PECOS Enrollment IDI20240902000435
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 Reassignments

2

Medicare enrollment records show Jennifer Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
2945 HAZELWOOD ST STE 100
Maplewood, MN 55109
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Clinic/Center
1414 MARYLAND AVE E
Saint Paul, MN 55106
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 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 2

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.

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.
25 services25 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 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.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
2945 HAZELWOOD ST, STE 105
MAPLEWOOD, MN 55109
Speech-Language Pathologist
2945 HAZELWOOD ST
MAPLEWOOD, MN 55109
Obstetrics & Gynecology
2945 HAZELWOOD ST
MAPLEWOOD, MN 55109
Nurse Practitioner (Family)
2945 HAZELWOOD ST
MAPLEWOOD, MN 55109
Nutritionist (Nutrition, Education)
2945 HAZELWOOD ST
MAPLEWOOD, MN 55109
Dietitian, Registered
2945 HAZELWOOD ST
MAPLEWOOD, MN 55109
Internal Medicine
2945 HAZELWOOD ST
MAPLEWOOD, MN 55109
Internal Medicine
2945 HAZELWOOD ST
MAPLEWOOD, MN 55109

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 Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1811734304. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Jennifer Johnson located?

Jennifer Johnson practices at 2945 Hazelwood St, Maplewood, MN 55109. The listed phone number is (651) 232-6700.

What is Jennifer Johnson's specialty?

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

Is Jennifer Johnson enrolled in Medicare?

Yes. Jennifer 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 Jennifer Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Johnson reassigns Medicare benefits to 2 organizations: Healtheast Medical Research Institute (Maplewood, MN) and Fairview Clinics (Saint Paul, 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 Jennifer Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Johnson accept?

Health plans from Sanford Health Plan list Jennifer 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 Jennifer Johnson affiliated with any hospitals?

According to CMS data, Jennifer Johnson is affiliated with M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Johnson was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.