Stephanie Jo Johanneck, APRN, AGNP, CNP in Willmar, MN

Stephanie Jo Johanneck, APRN, AGNP, CNP is a medicare enrolled "Nurse Practitioner" in Willmar, Minnesota. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centracare Clinic, Centracare Clinic Southwest Llc and her current practice location is 101 Willmar Ave Sw, Willmar, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 231-5000.

Stephanie Jo Johanneck is licensed to practice in Minnesota (license number 6641) 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 1891355913.

Contact Information

	Stephanie Jo Johanneck, APRN, AGNP, CNP
	101 Willmar Ave Sw, Willmar, MN 56201-3556
	(320) 231-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Stephanie Jo Johanneck
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	101 Willmar Ave Sw, Willmar, 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:

Stephanie Jo Johanneck graduated from nursing school in 2019

NPI Data:

NPI Number: 1891355913
Provider Enumeration Date: 06/20/2019
Last Update Date: 05/25/2023

Medicare PECOS Information:

PECOS PAC ID: 6507191053
Enrollment ID: I20190705001197

Medical Identifiers

Medical identifiers for Stephanie Jo Johanneck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891355913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	6641 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carris Health Llc	Willmar, MN	Hospital
Chippewa County Hospital	Montevideo, MN	Hospital
Meeker Memorial Hospital	Litchfield, MN	Hospital
Swift County Benson Hospital	Benson, MN	Hospital
Carris Health - Redwood, Llc	Redwood falls, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centracare Clinic	2466363395	701
Centracare Clinic Southwest Llc	8426457946	153

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. Stephanie Jo Johanneck allows following entities to bill medicare on her behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

Entity Name	Ccm Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20031201000642

Entity Name	Ccm Health
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1720086028 PECOS PAC ID: 4284539453 Enrollment ID: O20060504000810

Entity Name	Centracare Clinic Southwest Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802

Entity Name	Centracare Health - Benson Llc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1326757154 PECOS PAC ID: 1850761685 Enrollment ID: O20230203001165

Entity Name	Centracare Health - Benson Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326757154 PECOS PAC ID: 1850761685 Enrollment ID: O20230411000460

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. Stephanie Jo Johanneck 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
Stephanie Jo Johanneck, APRN, AGNP, CNP 16870 105th Ave Ne, Atwater, MN 56209-9315 Ph: () -	Stephanie Jo Johanneck, APRN, AGNP, CNP 101 Willmar Ave Sw, Willmar, MN 56201-3556 Ph: (320) 231-5000

Reviews and Comments

Nurse Practitioner Nurses in Willmar, MN

Lucy R Brink, RN CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1804 Trott Ave Sw, Willmar, MN 56201 Phone: 320-214-7286 Fax: 320-214-7223
Jolene Schlegel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw Ste 1, Willmar, MN 56201 Phone: 320-235-7232 Fax: 320-231-8602
Janaya Jean Marie Evenson, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-4399
Kristin Michelle Pomplun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 19th Ave Sw, Willmar, MN 56201 Phone: 320-235-2720
Jeffery Ja Enstad, RN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067
Michelle A Gerow-ellis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-6323
Ms. Daniele J Welvaert, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1037 19th Ave Sw, Willmar, MN 56201 Phone: 320-214-1100 Fax: 320-214-1155

Stephanie Jo Johanneck, APRN, AGNP, CNP - Medicare Nurse Practitioner in Willmar, MN