SIDNEY R JOHNK APRN,CNP
NPI 1992406656
Nurse Practitioner - Pediatrics in Fargo, ND
About Sidney R Johnk Aprn,cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIDNEY R JOHNK APRN,CNP (NPI 1992406656) is an individual pediatrics provider in Fargo, North Dakota, licensed in North Dakota (R42226) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sidney R Johnk Aprn,cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sidney Johnk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fargo, ND 58104
- Reassigned Medicare billing, North Dakota enrollment
- 617 clinicians in this Medicare group
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 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sidney Johnk's NPI number?
The NPI number for Sidney Johnk is 1992406656. It was assigned to this individual provider in the NPPES registry on March 10, 2023.
Where is Sidney Johnk located?
Sidney Johnk practices at 4110 51st Ave S, Fargo, ND 58104. The listed phone number is (701) 364-3100.
What is Sidney Johnk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Sidney Johnk enrolled in Medicare?
Yes. Sidney Johnk is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sidney Johnk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sidney Johnk reassigns Medicare benefits to Innovis Health LLC (Fargo, ND). 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 Sidney Johnk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sidney Johnk accept?
Health plans from Blue Cross Blue Shield of North Dakota list Sidney Johnk 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 Sidney Johnk was last updated on March 10, 2023. 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.
# Sidney R Johnk, APRN,CNP · NPI 1992406656
Pediatrics physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since March 10, 2023.
## Identity
- **NPI:** 1992406656 (Entity type: Individual)
- **Enumerated:** March 10, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R42226 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4110 51ST AVE S, Fargo, ND 58104-7776
- **Phone:** (701) 364-3100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Innovis Health LLC (NPI 1780043257, Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1992406656) · Data from the CMS NPPES public registry.