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MS. JACQUELYN LEE JOHNSON C.N.P.
NPI 1891710984
Nurse Practitioner in Little Falls, MN

Active since July 12, 2006PECOS Enrolled
811 2ND ST SE, SUITE A, LITTLE FALLS, MN 56345(320) 631-7000(320) 632-0534 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jacquelyn Lee Johnson C.n.p. NPPES

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

MS. JACQUELYN LEE JOHNSON C.N.P. (NPI 1891710984) is an individual nurse practitioner in Little Falls, Minnesota, licensed in Minnesota (R108719-0) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891710984
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. JACQUELYN LEE JOHNSONCredential: C.N.P.
Location Address811 2ND ST SE, SUITE ALittle Falls, MN 56345-3559
Mailing Address811 2nd St Se, Suite ALittle Falls, MN 56345-3559 · (320) 631-7000 · Fax (320) 632-0534
Phone(320) 631-7000
Fax(320) 632-0534
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateFebruary 16, 2015
✔ NPI 1891710984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · R108719-0
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.
811 2ND ST SE, Little Falls, MN 56345
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Other Names 1

Former Name (1)Ms. Jacquelyn Lee Ruzich

Other Identifiers 10

Medicare OSCAR/certification500019836MN
Other0107328Medica
Medicare OSCAR/certification500001748MN
Other47G13JOMN · Bcbs Of Minnesota
Medicare UPINP37494
Other140376C736MN · Ucare Minnesota
OtherA024MN · Tricare
OtherHP33899Health Partners
OtherNA9231028468Preferred One
Medicaid044997100MN

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 (PECOS)

Ms. Jacquelyn Lee Johnson C.n.p. 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 56345 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims13 services$6.63 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims1,320 services$0.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MARY THERESE KLINKER M.D.
Family Medicine
811 2ND ST SE, SUITE A
LITTLE FALLS, MN 56345
Morrison County (320) 631-7000
DR. RYAN DAVID KRAY M.D.
Family Medicine
811 2ND ST SE, SUITE A
LITTLE FALLS, MN 56345
Morrison County (320) 631-7231
DR. JONATHAN D ZELLMER MD
Surgery
811 2ND ST SE
LITTLE FALLS, MN 56345
Morrison County (320) 631-7000
UNITY FAMILY HEALTHCARE
Family Medicine
811 2ND ST SE
LITTLE FALLS, MN 56345
Morrison County (320) 631-7200
DR. LISA ANN GERMSCHEID M.D.
Family Medicine
811 2ND ST SE, SUITE A
LITTLE FALLS, MN 56345
Morrison County (320) 631-7000
KARILYN K AVERY MD
Pediatrics
811 2ND ST SE, SUITE A
LITTLE FALLS, MN 56345
Morrison County (320) 631-7000
DR. THOMAS PAUL STOY M.D.
Family Medicine
811 2ND ST SE, SUITE A
LITTLE FALLS, MN 56345
Morrison County (320) 631-7000
LISA RENEE MOORHOUSE CPNP
Nurse Practitioner (Pediatrics)
811 2ND ST SE
LITTLE FALLS, MN 56345
Morrison County (320) 631-7200

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 Jacquelyn Johnson's NPI number?

The NPI number for Jacquelyn Johnson is 1891710984. It was assigned to this individual provider in the NPPES registry on July 12, 2006. The provider is also known as Ms. Jacquelyn Lee Ruzich.

Where is Jacquelyn Johnson located?

Jacquelyn Johnson practices at 811 2nd St SE Suite A, Little Falls, MN 56345. The listed phone number is (320) 631-7000.

What is Jacquelyn Johnson's specialty?

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

Is Jacquelyn Johnson enrolled in Medicare?

Yes. Jacquelyn Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn Johnson accept?

Health plans from Medica list Jacquelyn 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 Jacquelyn Johnson was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.