NICOLE LYNN JOHNSON
NPI 1861015893
Nurse Practitioner in Red Wing, MN

Q: What is Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1861015893. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Q: What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 26, 2020PECOS EnrolledAccepts Medicare Assignment

701 HEWITT BLVD, RED WING, MN 55066(651) 267-5000 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 10, 2026, Oct 4, 2022, May 26, 2020 (3 updates tracked since 2020).

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About Nicole Lynn Johnson NPPES

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

NICOLE LYNN JOHNSON (NPI 1861015893) is an individual nurse practitioner in Red Wing, Minnesota, licensed in Minnesota (9582) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861015893

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE LYNN JOHNSON

Location Address701 HEWITT BLVDRed Wing, MN 55066-2848

Mailing Address701 Hewitt BlvdRed Wing, MN 55066-2848 · (507) 377-6285

Phone(651) 267-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 26, 2020

Last NPPES UpdateApril 10, 20263 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1861015893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 9582

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 2370725 (MN)

701 HEWITT BLVD, Red Wing, MN 55066

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Lynn 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 ID2860868783

PECOS Enrollment IDI20221018002455

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 4

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 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.

49 services44 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

15 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240010

Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County

Emergency services Birthing friendly

Mayo Clinic Health System In Red Wing

Acute Care Hospitals · Red Wing, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240018

Location701 Hewitt BoulevardRed Wing, MN 55066 · Goodhue County

Emergency services Birthing friendly

Mayo Clinic Health System - Lake City

Critical Access Hospitals · Lake City, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241338

Location500 West Grant StreetLake City, MN 55041 · Wabasha County

Emergency services

Mayo Clinic Health System - Cannon Falls

Critical Access Hospitals · Cannon Falls, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241346

Location32021 County 24 BoulevardCannon Falls, MN 55009 · Goodhue County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55066 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 20

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

DOUGLAS STEVEN LARSEN PA-C

Physician Assistant