Ms Krista Marie Johnson, CNM, APRN in Minneapolis, MN

Ms Krista Marie Johnson, CNM, APRN is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Minneapolis, Minnesota. Her current practice location is 3033 Excelsior Blvd Ste 585, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 345-5920.

Ms Krista Marie Johnson is licensed to practice in Alaska (license number 191560) 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 1033855416.

Contact Information

	Ms Krista Marie Johnson, CNM, APRN
	3033 Excelsior Blvd Ste 585, Minneapolis, MN 55416-6400
	(612) 345-5920
	(844) 562-6828

Map and Direction

Provider's Profile

Full Name	Ms Krista Marie Johnson
Gender	Female
Speciality	Nurse Practitioner - Obstetrics & Gynecology
Location	3033 Excelsior Blvd Ste 585, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033855416
Provider Enumeration Date: 05/09/2022
Last Update Date: 05/23/2024

Medicare PECOS Information:

PECOS PAC ID: 7214300474
Enrollment ID: I20230308003269

Medical Identifiers

Medical identifiers for Ms Krista Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033855416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	191560 (Alaska)	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 Krista Marie Johnson allows following entities to bill medicare on her behalf.

Entity Name	Via Vita Health Project Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952572927 PECOS PAC ID: 5597757112 Enrollment ID: O20040401001314

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 Krista Marie 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 Krista Marie Johnson, CNM, APRN 3601 Kipling Ave, St Louis Park, MN 55416-4817 Ph: (901) 343-7873	Ms Krista Marie Johnson, CNM, APRN 3033 Excelsior Blvd Ste 585, Minneapolis, MN 55416-6400 Ph: (612) 345-5920

Reviews and Comments

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Ms Krista Marie Johnson, CNM, APRN - Medicare Nurse Practitioner in Minneapolis, MN