CARLA RAE JOHNSON CNP
NPI 1871925479
Nurse Practitioner - Gerontology in Stillwater, MN
About Carla Rae Johnson Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA RAE JOHNSON CNP (NPI 1871925479) is an individual gerontology provider in Stillwater, Minnesota, licensed in Minnesota (452) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Grand Itasca Clinic And Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 4
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
Carla Rae Johnson Cnp 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 Carla Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Bluestone Physician Services PA
- 44 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 555 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grand Itasca Clinic And Hospital
Acute Care Hospitals · Grand Rapids, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
STILLWATER, MN 55082
STILLWATER, MN 55082
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 Carla Johnson's NPI number?
The NPI number for Carla Johnson is 1871925479. It was assigned to this individual provider in the NPPES registry on August 6, 2013.
Where is Carla Johnson located?
Carla Johnson practices at 270 Main St N Ste 300, Stillwater, MN 55082. The listed phone number is (651) 342-1039.
What is Carla Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Carla Johnson enrolled in Medicare?
Yes. Carla 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 Carla Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Johnson reassigns Medicare benefits to 2 organizations: Bluestone Physician Services, P.A. (Stillwater, MN) and Grand Itasca Clinic And Hospital (Grand Rapids, 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 Carla Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carla Johnson accept?
Health plans from Medica list Carla 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 Carla Johnson affiliated with any hospitals?
According to CMS data, Carla Johnson is affiliated with Grand Itasca Clinic And Hospital.
When was this NPI record last updated?
The NPPES record for Carla Johnson was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Carla Rae Johnson, CNP · NPI 1871925479
Gerontology physician in Stillwater, Minnesota. Individual provider, active in the CMS NPPES registry since August 6, 2013.
## Identity
- **NPI:** 1871925479 (Entity type: Individual)
- **Enumerated:** August 6, 2013
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 452 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 270 MAIN ST N STE 300, Stillwater, MN 55082-6788
- **Phone:** (651) 342-1039 · **Fax:** (651) 342-1428
## 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): Bluestone Physician Services, P.A. (NPI 1578595971, Stillwater, MN); Grand Itasca Clinic And Hospital (NPI 1669426631, Grand Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871925479) · Data from the CMS NPPES public registry.