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

Q: 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.

Q: What is Jennifer Johnson's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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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 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

Phone(651) 232-6700

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

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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

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.

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

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.

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Other Providers at the Same Location NPPES 18

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

FAIRVIEW PHARMACY SERVICES, LLC

Pharmacy

2945 HAZELWOOD ST, STE 105
MAPLEWOOD, MN 55109

Ramsey County (651) 471-9500

ERIN TOPITZHOFER M.A. CCC-SLP

Speech-Language Pathologist