Carli Jo Johnson, - Medicare Nurse Practitioner in Sioux Falls, SD

Carli Jo Johnson, is a medicare enrolled "Nurse Practitioner" in Sioux Falls, South Dakota. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Surgical Institute Of South Dakota Pc and her current practice location is 911 E 20th St Ste 700, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 334-0393.

Carli Jo Johnson is licensed to practice in South Dakota (license number CP001957) 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 1952993669.

Contact Information

Carli Jo Johnson,
911 E 20th St Ste 700,
Sioux Falls, SD 57105-1049
(605) 334-0393
Not Available

Map and Direction




Provider's Profile

Full NameCarli Jo Johnson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location911 E 20th St Ste 700, Sioux Falls, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carli Jo Johnson graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1952993669
  • Provider Enumeration Date: 02/04/2021
  • Last Update Date: 02/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9830504141
  • Enrollment ID: I20210219000087

Medical Identifiers

Medical identifiers for Carli Jo Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952993669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner CP001957 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Avera Mckennan Hospital & University Health CenterSioux falls, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Surgical Institute Of South Dakota Pc791189625320

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. Carli Jo Johnson allows following entities to bill medicare on her behalf.
Entity NameSurgical Institute Of South Dakota Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760569248
PECOS PAC ID: 7911896253
Enrollment ID: O20040330000722

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. Carli Jo 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 AddressPractice Location Address
Carli Jo Johnson,
328 N Allen Ave,
Colman, SD 57017-2029

Ph: (605) 864-0918
Carli Jo Johnson,
911 E 20th St Ste 700,
Sioux Falls, SD 57105-1049

Ph: (605) 334-0393

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.