Kristen Aili Johnson, PMHNP-BC, FNP-C - Medicare Nurse Practitioner in Grand Forks, ND

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Kristen Aili Johnson, PMHNP-BC, FNP-C is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Forks, North Dakota. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Kenaitze Indian Tribe, Peterson Medical Clinics Llc, Peterson Medical Clinics Llc, Peterson Medical Clinics Llc and her current practice location is 3674 S Washington St, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 205-3000.

Kristen Aili Johnson is licensed to practice in North Dakota (license number R53273) 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 1629679782.

Contact Information

Kristen Aili Johnson, PMHNP-BC, FNP-C
3674 S Washington St,
Grand Forks, ND 58201
(701) 205-3000
Not Available

Map and Direction




Provider's Profile

Full NameKristen Aili Johnson
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location3674 S Washington St, Grand Forks, North Dakota
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:
  • Kristen Aili Johnson graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1629679782
  • Provider Enumeration Date: 11/05/2020
  • Last Update Date: 04/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6608275284
  • Enrollment ID: I20221205002891

Medical Identifiers

Medical identifiers for Kristen Aili Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629679782NPI-NPPES
Q00086344OtherRR PTAN
1733819MedicaidAK
15154247OtherCAQH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R53273 (North Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peterson Medical Clinics Llc933541222091
Peterson Medical Clinics Llc933541222091
Kenaitze Indian Tribe408250622529
Peterson Medical Clinics Llc933541222091
Peterson Medical Clinics Llc933541222091
Peterson Medical Clinics Llc933541222091

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. Kristen Aili Johnson allows following entities to bill medicare on her behalf.
Entity NameNorton Sound Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154358232
PECOS PAC ID: 7517858137
Enrollment ID: O20040323001076
Entity NameKenaitze Indian Tribe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932114600
PECOS PAC ID: 4082506225
Enrollment ID: O20040325000198
Entity NameNorton Sound Health Corporation
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1225101041
PECOS PAC ID: 7517858137
Enrollment ID: O20080227000439

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. Kristen Aili 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
Kristen Aili Johnson, PMHNP-BC, FNP-C
Po Box 84101,
Seattle, WA 98124-5401

Ph: (907) 335-7500		Kristen Aili Johnson, PMHNP-BC, FNP-C
3674 S Washington St,
Grand Forks, ND 58201

Ph: (701) 205-3000

Reviews and Comments


Nurse Practitioner Nurses in Grand Forks, ND

Ms. Estella Ann Boger, GNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-5000    
Bethann Marie Nuelle, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4700 S Washington St, Grand Forks, ND 58201
Phone: 701-757-2559    
Miranda Eden Davis, PMHNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 3674 S Washington St, Grand Forks, ND 58201
Phone: 701-205-3000    Fax: 701-732-2501
Kaitlyn Rose Vagle, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-5000    
Ms. Mary Pat Holler-bibel, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 718 Oak St, Grand Forks, ND 58201
Phone: 218-230-0070    Fax: 800-958-7702
Kayla Clausen, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-5400    Fax: 701-780-6416
Kelsey Vivatson, PMHNP-BC, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2534 17th Ave S Ste E, Grand Forks, ND 58201
Phone: 701-885-4551    Fax: 701-757-1351

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.