NICHOLAS ROY JOHNSON PA-C
NPI 1902534910
Physician Assistant in Maple Grove, MN

Active since August 09, 2022PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
14500 99TH AVE N, MAPLE GROVE, MN 55369(763) 898-1000(763) 898-1009 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 13, 2022, Aug 9, 2022 (2 updates tracked since 2022).

About Nicholas Roy Johnson Pa-c NPPES

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

NICHOLAS ROY JOHNSON PA-C (NPI 1902534910) is an individual physician assistant in Maple Grove, Minnesota, licensed in Minnesota (14147) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and maintains a secondary practice location in Eden Prairie.

NPPES Registry Identity

NPI1902534910
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS ROY JOHNSONCredential: PA-C
Location Address14500 99TH AVE NMaple Grove, MN 55369-4730
Mailing Address11111 Anderson Lakes PkwyEden Prairie, MN 55344-4145 · (952) 451-3906
Fax(763) 898-1009
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 9, 2022
Last NPPES UpdateOctober 13, 20222 updates tracked since enumeration
NPPES CertifiedOctober 13, 2022
NPI 1902534910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 14147
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14500 99TH AVE N, Maple Grove, MN 55369

Secondary Practice Location 1

Location 111111 Anderson Lakes PkwyEden Prairie, MN 55344-4145 · Phone (952) 451-3906

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 and accepts Medicare assignment

Nicholas Roy Johnson Pa-c 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 ID9739565649
PECOS Enrollment IDI20220929003142
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 3

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 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.
32 services23 patients
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.
25 services21 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Registered Nurse (Diabetes Educator)
14500 99TH AVE N
MAPLE GROVE, MN 55369
Social Worker (Clinical)
14500 99TH AVE N
MAPLE GROVE, MN 55369
Occupational Therapist (Hand)
14500 99TH AVE N, #1-210
MAPLE GROVE, MN 55369
Dietitian, Registered
14500 99TH AVE N
MAPLE GROVE, MN 55369
Pharmacist
14500 99TH AVE N
MAPLE GROVE, MN 55369
Psychologist (Clinical)
14500 99TH AVE N
MAPLE GROVE, MN 55369
Internal Medicine (Nephrology)
14500 99TH AVE N, MEDICAL SPECIALTY CLINIC
MAPLE GROVE, MN 55369
Non-Pharmacy Dispensing Site
14500 99TH AVE N
MAPLE GROVE, MN 55369

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 Nicholas Johnson's NPI number?

The NPI number for Nicholas Johnson is 1902534910. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Where is Nicholas Johnson located?

Nicholas Johnson practices at 14500 99th Ave N, Maple Grove, MN 55369. The listed phone number is (763) 898-1000.

What is Nicholas Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Johnson enrolled in Medicare?

Yes. Nicholas 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.

What insurance does Nicholas Johnson accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Nicholas 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 Nicholas Johnson affiliated with any hospitals?

According to CMS data, Nicholas Johnson is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Nicholas Johnson was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.