| Nicole Johnson, NP | |
|
410 W. 4th St, Mahnomen, MN 56557 | |
| (218) 935-2514 | |
| Not Available |
| Full Name | Nicole Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 410 W. 4th St, Mahnomen, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811635014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2022003041 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverview Hospital | Crookston, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverview Healthcare Association | 7810806718 | 42 |
| Entity Name | Riverview Healthcare Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811918436 PECOS PAC ID: 7810806718 Enrollment ID: O20040128000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Johnson, NP 47639 192nd St, Brandt, SD 57218-5731 Ph: (218) 280-1024 | Nicole Johnson, NP 410 W. 4th St, Mahnomen, MN 56557 Ph: (218) 935-2514 |
Kristen Hemmingsen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 4th St Nw, Mahnomen, MN 56557 Phone: 218-935-2514 Fax: 218-935-2720 | |
Mrs. Tawnia Ann Netland, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 4th St Sw, Mahnomen, MN 56557 Phone: 218-935-2514 Fax: 218-935-2720 | |
Abby Lynn Wing, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 410 4th Street, Mahnomen, MN 56557 Phone: 218-935-2514 | |
Elizabeth Marie Engum, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 North 4th Street, Mahnomen, MN 56557 Phone: 218-935-2514 |