Nicholas Roy Johnson, PA-C - Medicare Physician Assistant in Maple Grove, MN

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Nicholas Roy Johnson, PA-C is a medicare enrolled "Physician Assistant" in Maple Grove, Minnesota. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Fairview Express Care and his current practice location is 14500 99th Ave N, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 898-1000.

Nicholas Roy Johnson is licensed to practice in Minnesota (license number 14147) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902534910.

Contact Information

Nicholas Roy Johnson, PA-C
14500 99th Ave N,
Maple Grove, MN 55369-4730
(763) 898-1000
(763) 898-1009

Map and Direction




Provider's Profile

Full NameNicholas Roy Johnson
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location14500 99th Ave N, Maple Grove, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicholas Roy Johnson graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1902534910
  • Provider Enumeration Date: 08/09/2022
  • Last Update Date: 10/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739565649
  • Enrollment ID: I20220929003142

Medical Identifiers

Medical identifiers for Nicholas Roy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902534910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 14147 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Hospital UniversityMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791946

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. Nicholas Roy Johnson allows following entities to bill medicare on his behalf.
Entity NameUniversity of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity of Minnesota Health Clinics and Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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. Nicholas Roy 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
Nicholas Roy Johnson, PA-C
11111 Anderson Lakes Pkwy,
Eden Prairie, MN 55344-4145

Ph: (952) 451-3906		Nicholas Roy Johnson, PA-C
14500 99th Ave N,
Maple Grove, MN 55369-4730

Ph: (763) 898-1000

Reviews and Comments


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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.