AMANDA NYCOL JOHNSON CPNP
NPI 1851060636
Nurse Practitioner - Pediatrics in Albertville, MN

Active since September 07, 2021PECOS Enrolled
5703 LACHMAN AVE NE, ALBERTVILLE, MN 55301(763) 284-1877(763) 205-5834 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Sep 23, 2021, Sep 7, 2021 (3 updates tracked since 2021).

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 and maintains a secondary practice location in Victoria.

NPPES Registry Identity

NPI1851060636
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAMANDA NYCOL JOHNSONCredential: CPNP
Location Address5703 LACHMAN AVE NEAlbertville, MN 55301-3973
Mailing Address1772 Stieger Lake Ln Ste 220Victoria, MN 55386-7720 · (952) 443-4600 · Fax (952) 443-4604
Fax(763) 205-5834
Sole ProprietorNo
Enumeration DateSeptember 7, 2021
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
NPI 1851060636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in MN · 8495
Also ListedNurse PractitionerTaxonomy 363L00000X · License 8495 (MN)
5703 LACHMAN AVE NE, Albertville, MN 55301

Other Names 1

Former Name (1)Amanda Preston

Secondary Practice Location 1

Location 11772 Stieger Lake Ln Ste 220Victoria, MN 55386-7720 · Phone (952) 443-4600 · Fax (952) 443-4604

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 (PECOS)

Amanda Nycol Johnson Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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 2

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

Clinic/Center (Adolescent and Children Mental Health)
5703 LACHMAN AVE NE
ALBERTVILLE, MN 55301
Nurse Practitioner (Psychiatric/Mental Health)
5703 LACHMAN AVE NE
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 enrollment system.

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 9 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.