Nicole Johnson, in Red Wing, MN - Medicare Nurse Practitioner

Nicole Johnson, is a medicare enrolled "Nurse Practitioner" in Red Wing, Minnesota. Her current practice location is 701 Hewitt Blvd, Red Wing, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 267-5000.

Nicole Johnson is licensed to practice in Minnesota (license number 9582) 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 1861015893.

Contact Information

	Nicole Johnson,
	701 Hewitt Blvd, Red Wing, MN 55066-2848
	(651) 267-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	701 Hewitt Blvd, Red Wing, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861015893
Provider Enumeration Date: 05/26/2020
Last Update Date: 10/04/2022

Medicare PECOS Information:

PECOS PAC ID: 2860868783
Enrollment ID: I20221018002455

Medical Identifiers

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

Identifier	Type	State	Issuer
1861015893	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2370725 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	9582 (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. Nicole Johnson allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

Entity Name	Mayo Clinic Health System-southeast Minnesota Region
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408

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. 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 Address	Practice Location Address
Nicole Johnson, 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (507) 377-6285	Nicole Johnson, 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000

Reviews and Comments

Nurse Practitioner Nurses in Red Wing, MN

Patricia Ann Fenstermacher, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000
Anna Tipton, FNP, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000
Elisa V Hanson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2040 Neal St Ste 300, Red Wing, MN 55066 Phone: 612-206-0924
Ryan C Sportel, CRNA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000
Kim Ann Reinitz, RN, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000
Sarah Joy Berhow, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000
Carrie Ann Balster, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000

Nicole Johnson, - Medicare Nurse Practitioner in Red Wing, MN