AMANDA NYCOL JOHNSON CPNP
NPI 1851060636
Nurse Practitioner - Pediatrics in Albertville, MN
About Amanda Nycol Johnson Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA NYCOL JOHNSON CPNP (NPI 1851060636) is an individual pediatrics provider in Albertville, Minnesota, licensed in Minnesota (8495) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Victoria, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 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
Amanda Nycol Johnson Cpnp 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 Amanda Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albertville, MN 55301
- Reassigned Medicare billing, Minnesota enrollment
Victoria, MN 55386
- Reassigned Medicare billing, Minnesota enrollment
- 33 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBERTVILLE, MN 55301
ALBERTVILLE, MN 55301
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 Amanda Johnson's NPI number?
The NPI number for Amanda Johnson is 1851060636. It was assigned to this individual provider in the NPPES registry on September 7, 2021. The provider is also known as Amanda Preston.
Where is Amanda Johnson located?
Amanda Johnson practices at 5703 Lachman Ave NE, Albertville, MN 55301. The listed phone number is (763) 284-1877.
What is Amanda Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Amanda Johnson enrolled in Medicare?
Yes. Amanda 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 Amanda Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Johnson reassigns Medicare benefits to 2 organizations: Evernorth Clinic, PLLC (Albertville, MN) and Lorenz Clinic, LLC (Victoria, 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 Amanda Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Johnson accept?
Health plans from HealthPartners list Amanda 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.
When was this NPI record last updated?
The NPPES record for Amanda Johnson was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Amanda Nycol Johnson, CPNP · NPI 1851060636
Pediatrics physician in Albertville, Minnesota. Individual provider, active in the CMS NPPES registry since September 7, 2021.
## Identity
- **NPI:** 1851060636 (Entity type: Individual)
- **Enumerated:** September 7, 2021
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 8495 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5703 LACHMAN AVE NE, Albertville, MN 55301-3973
- **Phone:** (763) 284-1877 · **Fax:** (763) 205-5834
## 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): Evernorth Clinic, PLLC (NPI 1053116483, Albertville, MN); Lorenz Clinic, LLC (NPI 1982900510, Victoria, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851060636) · Data from the CMS NPPES public registry.