Kinsey Lyn Johnson, NP in Fargo, ND - Medicare Nurse Practitioner

Kinsey Lyn Johnson, NP is a medicare enrolled "Nurse Practitioner" in Fargo, North Dakota. Her current practice location is 1800 21st Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 365-8700.

Kinsey Lyn Johnson is licensed to practice in North Dakota (license number R47295) 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 1417632415.

Contact Information

	Kinsey Lyn Johnson, NP
	1800 21st Ave S, Fargo, ND 58103-5759
	(701) 365-8700
	Not Available

Map and Direction

Provider's Profile

Full Name	Kinsey Lyn Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	1800 21st Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417632415
Provider Enumeration Date: 06/16/2023
Last Update Date: 07/25/2023

Medicare PECOS Information:

PECOS PAC ID: 7911361928
Enrollment ID: I20230908003215

Medical Identifiers

Medical identifiers for Kinsey Lyn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417632415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R47295 (North Dakota)	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. Kinsey Lyn Johnson allows following entities to bill medicare on her behalf.

Entity Name	Catalyst Medical Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043378268 PECOS PAC ID: 5395776967 Enrollment ID: O20050823000867

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. Kinsey Lyn 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
Kinsey Lyn Johnson, NP 1809 E Rose Creek Pkwy S, Fargo, ND 58104-6836 Ph: (701) 212-2778	Kinsey Lyn Johnson, NP 1800 21st Ave S, Fargo, ND 58103-5759 Ph: (701) 365-8700

Reviews and Comments

Nurse Practitioner Nurses in Fargo, ND

Wendy M Moore, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 28th St S, Fargo, ND 58103 Phone: 701-404-1100 Fax: 701-540-6498
Mrs. Kayla L. Nelson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3344
Kyrie Marie Severson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104 Phone: 701-364-2909 Fax: 701-364-9822
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525
Mary Omer Habib, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4622 40th Ave S Ste A, Fargo, ND 58104 Phone: 218-364-8900
Mr. Nicholas Henry Frederiksen, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078
Erin Marie Wilmes Reiniger, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Fargo, ND 58104 Phone: 701-364-8000 Fax: 701-364-3561

Kinsey Lyn Johnson, NP - Medicare Nurse Practitioner in Fargo, ND