Carla Rae Johnson, CNP in Minneapolis, MN - Medicare Nurse Practitioner

Carla Rae Johnson, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Minneapolis, Minnesota. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Grand Itasca Clinic And Hospital and her current practice location is 3366 Oakdale Ave N, Suite 551, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 587-7737.

Carla Rae Johnson is licensed to practice in Minnesota (license number AG0713025) 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 1871925479.

Contact Information

	Carla Rae Johnson, CNP
	3366 Oakdale Ave N, Suite 551, Minneapolis, MN 55422-2948
	(763) 587-7737
	(763) 587-7069

Map and Direction

Provider's Profile

Full Name	Carla Rae Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	3366 Oakdale Ave N, Minneapolis, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Carla Rae Johnson graduated from nursing school in 2013

NPI Data:

NPI Number: 1871925479
Provider Enumeration Date: 08/06/2013
Last Update Date: 08/06/2013

Medicare PECOS Information:

PECOS PAC ID: 7113154170
Enrollment ID: I20131218001679

Medical Identifiers

Medical identifiers for Carla Rae Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871925479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	AG0713025 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grand Itasca Clinic And Hospital	Grand rapids, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grand Itasca Clinic And Hospital	8123939550	115

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carla Rae Johnson allows following entities to bill medicare on her behalf.

Entity Name	Grand Itasca Clinic And Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209

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. Carla Rae 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
Carla Rae Johnson, CNP 9201 W Broadway Ave, Suite 601, Brooklyn Park, MN 55445-1923 Ph: (763) 587-7974	Carla Rae Johnson, CNP 3366 Oakdale Ave N, Suite 551, Minneapolis, MN 55422-2948 Ph: (763) 587-7737

Reviews and Comments

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Carla Rae Johnson, CNP - Medicare Nurse Practitioner in Minneapolis, MN