Mrs Mary Jo Johnson, CNM, CNP in Edina, MN - Medicare Certified Nurse Midwife (cnm)

Mrs Mary Jo Johnson, CNM, CNP is a medicare enrolled "Advanced Practice Midwife" in Edina, Minnesota. She went to University Of Minnesota Medical School and graduated in 1999 and has 26 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Premier Obgyn Of Minnesota Pllc and her current practice location is 3625 W 65th St Ste 100, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 920-7001.

Mrs Mary Jo Johnson is licensed to practice in Minnesota (license number R123626-8) 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 1578550992.

Contact Information

	Mrs Mary Jo Johnson, CNM, CNP
	3625 W 65th St Ste 100, Edina, MN 55435-2147
	(952) 920-7001
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mary Jo Johnson
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	26 Years
Location	3625 W 65th St Ste 100, Edina, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mary Jo Johnson attended and graduated from University Of Minnesota Medical School in 1999

NPI Data:

NPI Number: 1578550992
Provider Enumeration Date: 09/30/2005
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1254376353
Enrollment ID: I20050620000844

Medical Identifiers

Medical identifiers for Mrs Mary Jo Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578550992	NPI	-	NPPES
642215200	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	R123626-8 (Minnesota)	Primary
363LF0000X	Nurse Practitioner - Family	R123626-8 (Minnesota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Minnesota Medical Center, Fairview	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Obgyn Of Minnesota Pllc	1355396110	71

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. Mrs Mary Jo Johnson allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

Entity Name	Premier Obgyn Of Minnesota Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801946223 PECOS PAC ID: 1355396110 Enrollment ID: O20050315000729

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. Mrs Mary Jo 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
Mrs Mary Jo Johnson, CNM, CNP 15014 Bridgewater Dr, Savage, MN 55378-5618 Ph: (218) 340-7369	Mrs Mary Jo Johnson, CNM, CNP 3625 W 65th St Ste 100, Edina, MN 55435-2147 Ph: (952) 920-7001

Reviews and Comments

Advanced Practice Midwife Nurses in Edina, MN

Taylor Lachapelle, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6525 France Ave S Ste 100, Edina, MN 55435 Phone: 952-285-6140
Elizabeth Anne Doro, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3625 W 65th St Ste 100, Edina, MN 55435 Phone: 952-920-7001
Dr. Laura Rose Baartman Volk, DNP, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6565 France Ave S Ste 400a, Edina, MN 55435 Phone: 952-225-1630 Fax: 952-225-1609
Mrs. Melissa Erber Kitzman, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6525 France Ave S, Suite 100, Edina, MN 55435 Phone: 952-285-6140
Dr. Anna Marie Revolinski, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6545 France Ave S Ste 100, Edina, MN 55435 Phone: 612-716-3732
Jessica Torres, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6525 France Ave S, Suite 100, Edina, MN 55435 Phone: 952-285-6140 Fax: 952-924-4026

Mrs Mary Jo Johnson, CNM, CNP - Medicare Certified Nurse Midwife (cnm) in Edina, MN