Amanda Nycol Johnson, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Victoria, Minnesota. Her current practice location is
1772 Stieger Lake Ln Ste 220, Victoria, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 443-4600.
Amanda Nycol Johnson is licensed to practice in Minnesota (license number 8495) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851060636.
Provider's Profile
| Full Name | Amanda Nycol Johnson |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1772 Stieger Lake Ln Ste 220, Victoria, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amanda Nycol Johnson attended and graduated from in
NPI Data:
- NPI Number: 1851060636
- Provider Enumeration Date: 09/07/2021
- Last Update Date: 01/31/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Amanda Nycol Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851060636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 8495 (Minnesota) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 8495 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Nycol Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Amanda Nycol Johnson, CPNP
1772 Stieger Lake Ln Ste 220,
Victoria, MN 55386-7720
Ph: (952) 443-4600 | Amanda Nycol Johnson, CPNP
1772 Stieger Lake Ln Ste 220,
Victoria, MN 55386-7720
Ph: (952) 443-4600 |
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