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

Active since April 27, 2026PECOS Enrolled
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: August 02, 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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caleb Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

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 3 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.