Sarah Mary Johnson, FNP-BC in Crystal, MN - Medicare Nurse Practitioner

Sarah Mary Johnson, FNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Crystal, Minnesota. Her current practice location is 5200 Douglas Dr N, Crystal, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 400-3628.

Sarah Mary Johnson is licensed to practice in Minnesota (license number 970) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063645224.

Contact Information

	Sarah Mary Johnson, FNP-BC
	5200 Douglas Dr N, Crystal, MN 55429-3104
	(763) 400-3628
	(763) 342-4183

Map and Direction

Provider's Profile

Full Name	Sarah Mary Johnson
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	5200 Douglas Dr N, Crystal, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063645224
Provider Enumeration Date: 09/03/2009
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 9638211196
Enrollment ID: I20100121000638

Medical Identifiers

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

Identifier	Type	State	Issuer
1063645224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	970 (Minnesota)	Primary

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

Entity Name	Lifespark Medical Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427551746 PECOS PAC ID: 4385908201 Enrollment ID: O20180501001022

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. Sarah Mary 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
Sarah Mary Johnson, FNP-BC 6694 Mckown Ct, Independence, MN 55359-2200 Ph: (952) 240-4944	Sarah Mary Johnson, FNP-BC 5200 Douglas Dr N, Crystal, MN 55429-3104 Ph: (763) 400-3628

Reviews and Comments

Nurse Practitioner Nurses in Crystal, MN

Jessica Lynn Rusciano, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5109 36th Ave N, Crystal, MN 55422 Phone: 763-587-7999
Jennifer Nelson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183
Julitta Adu-gyamfi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6014 Lakeland Ave N, Crystal, MN 55428 Phone: 612-871-2312
Helen O Osonowo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5724 Bass Lake Rd, Crystal, MN 55429 Phone: 763-561-3434 Fax: 612-314-8840
Jill Titze, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183
Naomi B Machungo, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5200 Douglas Dr N, Crystal, MN 55429 Phone: 763-400-3628 Fax: 763-342-4183

Sarah Mary Johnson, FNP-BC - Medicare Nurse Practitioner in Crystal, MN