NATHAN DANIEL JOHNSON M.D.
NPI 1891089850
Otolaryngology - Facial Plastic Surgery in Minneapolis, MN

Q: What is Nathan Johnson's NPI number?

The NPI number for Nathan Johnson is 1891089850. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Q: What is Nathan Johnson's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Johnson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 June 07, 2011PECOS EnrolledAccepts Medicare Assignment

2211 PARK AVE, MINNEAPOLIS, MN 55404(612) 871-1144(612) 871-2012 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 17, 2017 (3 updates tracked since 2017).

On this page

About Nathan Daniel Johnson M.d. NPPES

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

NATHAN DANIEL JOHNSON M.D. (NPI 1891089850) is an individual facial plastic surgery provider in Minneapolis, Minnesota, licensed in Minnesota (61977) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Buffalo, and is a graduate of University Of Minnesota Medical School (2011).

NPPES Registry Identity

NPI1891089850

Entity TypeIndividualMale

Primary Taxonomy207YS0123X

Provider Legal NameNATHAN DANIEL JOHNSONCredential: M.D.

Location Address2211 PARK AVEMinneapolis, MN 55404-3711

Mailing Address2211 Park AveMinneapolis, MN 55404-3711 · (612) 871-1144 · Fax (612) 871-2012

Phone(612) 871-1144

Fax(612) 871-2012

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2011

Enumeration DateJune 7, 2011

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1891089850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

License✔ Licensed in MN · 61977

Definition

An otolaryngologist who specializes in facial plastic surgery.

2211 PARK AVE, Minneapolis, MN 55404

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Secondary Practice Location 1

Location 11237 Delaware AveBuffalo, NY 14209-1435 · Phone (716) 362-9585

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Nathan Daniel Johnson M.d. 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 ID547537508

PECOS Enrollment IDI20170719001528

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.

Medicare Billing Reassignment

Medicare enrollment records show Nathan Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ear Nose & Throat Specialty Care Of Minnesota PA

4.6 mi

Otolaryngology

6099 WAYZATA BLVD STE 200
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
51 clinicians in this Medicare group

NPI 1336175744 (612) 871-1144

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 7

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.

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

61 services58 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

51 services51 patients

Simple control of nose bleed 30901

Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.

39 services30 patients

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.

31 services29 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services18 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

17 services17 patients

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.

JEFFREY C. MANLOVE M.D.

Otolaryngology