Nicole Johnson, NP in Mahnomen, MN - Medicare Nurse Practitioner

Nicole Johnson, NP is a medicare enrolled "Nurse Practitioner - Family" in Mahnomen, Minnesota. Her current practice location is 410 W. 4th St, Mahnomen, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 935-2514.

Nicole Johnson is licensed to practice in South Dakota (license number 2022003041) 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 1811635014.

Contact Information

	Nicole Johnson, NP
	410 W. 4th St, Mahnomen, MN 56557
	(218) 935-2514
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	410 W. 4th St, Mahnomen, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811635014
Provider Enumeration Date: 05/26/2022
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 1759814692
Enrollment ID: I20241030001938

Medical Identifiers

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

Identifier	Type	State	Issuer
1811635014	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2022003041 (South 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. Nicole Johnson allows following entities to bill medicare on her behalf.

Entity Name	Riverview Healthcare Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811918436 PECOS PAC ID: 7810806718 Enrollment ID: O20040128000040

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, NP 47639 192nd St, Brandt, SD 57218-5731 Ph: (218) 280-1024	Nicole Johnson, NP 410 W. 4th St, Mahnomen, MN 56557 Ph: (218) 935-2514

Reviews and Comments

Nurse Practitioner Nurses in Mahnomen, MN

Kristen Hemmingsen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 4th St Nw, Mahnomen, MN 56557 Phone: 218-935-2514 Fax: 218-935-2720
Serena Jo Madden, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 West Fourth Street, Mahnomen, MN 56557 Phone: 218-935-2514
Mrs. Tawnia Ann Netland, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 4th St Sw, Mahnomen, MN 56557 Phone: 218-935-2514 Fax: 218-935-2720
Abby Lynn Wing, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 4th Street, Mahnomen, MN 56557 Phone: 218-935-2514
Elizabeth Marie Engum, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 North 4th Street, Mahnomen, MN 56557 Phone: 218-935-2514

Nicole Johnson, NP - Medicare Nurse Practitioner in Mahnomen, MN