Kimberly Ann Johnson, CNP - Medicare Nurse Practitioner in Hermantown, MN

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Kimberly Ann Johnson, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hermantown, Minnesota. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northern Waters Clinic and her current practice location is 4899 Miller Trunk Hwy Ste 208, Hermantown, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 727-3888.

Kimberly Ann Johnson is licensed to practice in Minnesota (license number 1510) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295014520.

Contact Information

Kimberly Ann Johnson, CNP
4899 Miller Trunk Hwy Ste 208,
Hermantown, MN 55811-1582
(218) 727-3888
(218) 260-4772

Map and Direction




Provider's Profile

Full NameKimberly Ann Johnson
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location4899 Miller Trunk Hwy Ste 208, Hermantown, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Ann Johnson graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1295014520
  • Provider Enumeration Date: 08/04/2011
  • Last Update Date: 03/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759554892
  • Enrollment ID: I20111104000415

Medical Identifiers

Medical identifiers for Kimberly Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295014520NPI-NPPES
1295014520MedicaidWI
1295014520MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 1510 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Waters Clinic13558161822

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. Kimberly Ann Johnson allows following entities to bill medicare on her behalf.
Entity NameNorthern Waters Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316445455
PECOS PAC ID: 1355816182
Enrollment ID: O20260409002244

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. Kimberly Ann 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 AddressPractice Location Address
Kimberly Ann Johnson, CNP
4899 Miller Trunk Hwy Ste 208,
Hermantown, MN 55811-1582

Ph: (218) 727-3888		Kimberly Ann Johnson, CNP
4899 Miller Trunk Hwy Ste 208,
Hermantown, MN 55811-1582

Ph: (218) 727-3888

Reviews and Comments


Nurse Practitioner Nurses in Hermantown, MN

Rachel Lynn Frost, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4891 Miller Trunk Hwy Ste 206, Hermantown, MN 55811
Phone: 218-306-8383    Fax: 218-875-6315
Pamela J Idziorek, RNNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4891 Miller Trunk Hwy, Hermantown, MN 55811
Phone: 218-626-1222    
Anne Katherine Hendricks,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4891 Miller Trunk Hwy, Hermantown, MN 55811
Phone: 218-306-8383    Fax: 218-875-6315
Karissa Ann Haugen, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4891 Miller Trunk Hwy Ste 206, Hermantown, MN 55811
Phone: 218-310-8896    Fax: 218-875-6315
Tracy Kwapick, FNP/PMHNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 4891 Miller Trunk Hwy Ste 206, Hermantown, MN 55811
Phone: 218-306-8383    Fax: 218-875-6315
Michelle L Carl, APRN,CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811
Phone: 218-786-3540    
Veronica Lynn Carson, GNP-BG
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4195 Westberg Rd Apt 436, Hermantown, MN 55811
Phone: 701-516-4637    Fax: 877-651-1381

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.