Sidney R Johnk, APRN,CNP in Fargo, ND - Medicare Nurse Practitioner

Sidney R Johnk, APRN,CNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Fargo, North Dakota. Her current practice location is 4110 51st Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 364-3100.

Sidney R Johnk is licensed to practice in North Dakota (license number R42226) 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 1992406656.

Contact Information

	Sidney R Johnk, APRN,CNP
	4110 51st Ave S, Fargo, ND 58104-7776
	(701) 364-3100
	Not Available

Map and Direction

Provider's Profile

Full Name	Sidney R Johnk
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4110 51st 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: 1992406656
Provider Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4981078433
Enrollment ID: I20230323001213

Medical Identifiers

Medical identifiers for Sidney R Johnk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992406656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R42226 (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. Sidney R Johnk allows following entities to bill medicare on her behalf.

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158

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. Sidney R Johnk 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
Sidney R Johnk, APRN,CNP 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Sidney R Johnk, APRN,CNP 4110 51st Ave S, Fargo, ND 58104-7776 Ph: (701) 364-3100

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

Sidney R Johnk, APRN,CNP - Medicare Nurse Practitioner in Fargo, ND