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CALEB JOHNSON
NPI 1952247405
Nurse Practitioner - Psychiatric/Mental Health in Saint Paul, MN

Active since April 27, 2026PECOS EnrolledAccepts Medicare Assignment
1058 BLAIR AVE, SAINT PAUL, MN 55104(507) 514-0449 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Caleb Johnson NPPES

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

CALEB JOHNSON (NPI 1952247405) is an individual psychiatric/mental health provider in Saint Paul, Minnesota, licensed in Minnesota (14057) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1952247405
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCALEB JOHNSON
Location Address1058 BLAIR AVESaint Paul, MN 55104-2120
Mailing Address1058 Blair AveSaint Paul, MN 55104-2120
Phone(507) 514-0449
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1952247405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 14057
1058 BLAIR AVE, Saint Paul, MN 55104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.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

Caleb 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 ID6901376862
PECOS Enrollment IDI20260601003277
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 Caleb Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lorenz Clinic, LLC
26 mi
Marriage & Family Therapist
1772 STEIGER LAKE LN, SUITE 220
Victoria, MN 55386
  • Reassigned Medicare billing, Minnesota enrollment
  • 33 clinicians in this Medicare group
NPI 1982900510 (952) 443-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55104 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.

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 Caleb Johnson's NPI number?

The NPI number for Caleb Johnson is 1952247405. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Caleb Johnson located?

Caleb Johnson practices at 1058 Blair Ave, Saint Paul, MN 55104. The listed phone number is (507) 514-0449.

What is Caleb Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Caleb Johnson enrolled in Medicare?

Yes. Caleb 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 organization bills Medicare for Caleb Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Johnson reassigns Medicare benefits to Lorenz Clinic, LLC (Victoria, MN). The 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 Caleb Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caleb Johnson accept?

Health plans from HealthPartners and Sanford Health Plan list Caleb 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 Caleb Johnson was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.