Kelsey Nicole Johnson, PMHNP-BC - Medicare Nurse Practitioner in Vadnais Heights, MN

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Kelsey Nicole Johnson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Vadnais Heights, Minnesota. Her current practice location is 3555 Willow Lake Blvd Ste 290, Vadnais Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 431-5330.

Kelsey Nicole Johnson is licensed to practice in Minnesota (license number 11143) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184493355.

Contact Information

Kelsey Nicole Johnson, PMHNP-BC
3555 Willow Lake Blvd Ste 290,
Vadnais Heights, MN 55110-4465
(952) 431-5330
Not Available

Map and Direction




Provider's Profile

Full NameKelsey Nicole Johnson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3555 Willow Lake Blvd Ste 290, Vadnais Heights, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184493355
  • Provider Enumeration Date: 12/28/2023
  • Last Update Date: 09/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678918836
  • Enrollment ID: I20240227002831

Medical Identifiers

Medical identifiers for Kelsey Nicole Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184493355NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 11143 (Minnesota)Primary

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. Kelsey Nicole Johnson allows following entities to bill medicare on her behalf.
Entity NameAdvanced Brain And Body Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447816632
PECOS PAC ID: 7911234711
Enrollment ID: O20190815002427

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. Kelsey Nicole 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
Kelsey Nicole Johnson, PMHNP-BC
3555 Willow Lake Blvd Ste 290,
Vadnais Heights, MN 55110-4465

Ph: (952) 431-5330		Kelsey Nicole Johnson, PMHNP-BC
3555 Willow Lake Blvd Ste 290,
Vadnais Heights, MN 55110-4465

Ph: (952) 431-5330

Reviews and Comments


Nurse Practitioner Nurses in Vadnais Heights, MN

Mrs. Tawney R Maul, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127
Phone: 651-986-5201    
Dr. Christie Marissa Newman, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127
Phone: 651-968-5201    Fax: 651-968-5903
Isabelle Lacosse,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127
Phone: 651-968-5201    
Wendy Haller Nerheim, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1155 County Road E E Ste 100, Vadnais Heights, MN 55110
Phone: 651-241-9200    Fax: 651-241-9603
Ms. Tracy Kimberly Newman, PMHNP, CNP, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 376 County Road F E, Vadnais Heights, MN 55127
Phone: 651-491-5425    
Julie Guenther Tebben, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3485 Willow Lake Blvd, Suite 100, Vadnais Heights, MN 55110
Phone: 651-484-5567    Fax: 165-134-4440

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.