SIDNEY R JOHNK APRN,CNP
NPI 1992406656
Nurse Practitioner - Pediatrics in Fargo, ND

Q: 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.

Q: What is Sidney Johnk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Sidney Johnk was last updated on March 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 10, 2023PECOS Enrolled

4110 51ST AVE S, FARGO, ND 58104(701) 364-3100 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1992406656

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSIDNEY R JOHNKCredential: APRN,CNP

Location Address4110 51ST AVE SFargo, ND 58104-7776

Mailing Address1702 University Dr SFargo, ND 58103-4940

Phone(701) 364-3100

Sole ProprietorNo

Enumeration DateMarch 10, 2023

NPPES CertifiedMarch 10, 2023

✔ NPI 1992406656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in ND · R42226

4110 51ST AVE S, Fargo, ND 58104

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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)

Sidney R Johnk Aprn,cnp 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 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.

New Patient

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

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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.

DR. MICHELLE RENAE BRADLEY DO

Family Medicine