Ms Jacquelyn Lee Johnson, CNP in Little Falls, MN

Ms Jacquelyn Lee Johnson, CNP is a medicare enrolled "Nurse Practitioner" in Little Falls, Minnesota. Her current practice location is 811 2nd St Se, Suite A, Little Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 631-7000.

Ms Jacquelyn Lee Johnson is licensed to practice in Minnesota (license number R108719-0) 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 1891710984.

Contact Information

	Ms Jacquelyn Lee Johnson, CNP
	811 2nd St Se, Suite A, Little Falls, MN 56345-3559
	(320) 631-7000
	(320) 632-0534

Map and Direction

Provider's Profile

Full Name	Ms Jacquelyn Lee Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	811 2nd St Se, Little Falls, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891710984
Provider Enumeration Date: 07/12/2006
Last Update Date: 02/16/2015

Medicare PECOS Information:

PECOS PAC ID: 1759339450
Enrollment ID: I20050110000646

Medical Identifiers

Medical identifiers for Ms Jacquelyn Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891710984	NPI	-	NPPES
0107328	Other		MEDICA
140376C736	Other	MN	UCARE MINNESOTA
HP33899	Other		HEALTH PARTNERS
A024	Other	MN	TRICARE
NA9231028468	Other		PREFERRED ONE
044997100	Medicaid	MN
47G13JO	Other	MN	BCBS OF MINNESOTA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R108719-0 (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. Ms Jacquelyn Lee Johnson allows following entities to bill medicare on her behalf.

Entity Name	Unity Family Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732

Entity Name	Little Falls Medical Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669546628 PECOS PAC ID: 1850296138 Enrollment ID: O20031201000165

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. Ms Jacquelyn Lee 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
Ms Jacquelyn Lee Johnson, CNP 811 2nd St Se, Suite A, Little Falls, MN 56345-3559 Ph: (320) 631-7000	Ms Jacquelyn Lee Johnson, CNP 811 2nd St Se, Suite A, Little Falls, MN 56345-3559 Ph: (320) 631-7000

Reviews and Comments

Nurse Practitioner Nurses in Little Falls, MN

Christina Timm, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 2nd St Se Ste A, Little Falls, MN 56345 Phone: 320-631-7000 Fax: 320-631-7229
Kari Annette Baillif, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 811 2nd St Se, Little Falls, MN 56345 Phone: 320-631-7000
Kaley Loraine Hagen, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 2nd St Se, Little Falls, MN 56345 Phone: 320-631-7000
Michelle Renee Lanning, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 811 2nd St Se, Little Falls, MN 56345 Phone: 320-316-7200 Fax: 320-326-0534
Marilyn Husby, APRN, CNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 1st St Se Ste 102, Little Falls, MN 56345 Phone: 320-733-0174
Lisa Renee Moorhouse, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 811 2nd St Se, Little Falls, MN 56345 Phone: 320-631-7200 Fax: 320-632-0534
Kim Scott, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38 Edgewater Dr, Little Falls, MN 56345 Phone: 218-251-7912

Ms Jacquelyn Lee Johnson, CNP - Medicare Nurse Practitioner in Little Falls, MN