Mrs Stacy Lea Johnston, OTR/L - Medicare Occupational Therapist in St. Louis Park, MN

Mrs Stacy Lea Johnston, OTR/L is a medicare enrolled "Occupational Therapist" provider in St. Louis Park, Minnesota. Her current practice location is 4415 36 1/2 Street West, St. Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 927-9717.

Mrs Stacy Lea Johnston is licensed to practice in Minnesota (license number 100740) 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 1669571261.

Contact Information

Mrs Stacy Lea Johnston, OTR/L
4415 36 1/2 Street West,
St. Louis Park, MN 55416
(952) 927-9717
(952) 927-7687

Map and Direction




Healthcare Provider's Profile

Full NameMrs Stacy Lea Johnston
GenderFemale
SpecialityOccupational Therapist
Location4415 36 1/2 Street West, St. Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669571261
  • Provider Enumeration Date: 09/21/2006
  • Last Update Date: 04/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2668471038
  • Enrollment ID: I20061212000581

Medical Identifiers

Medical identifiers for Mrs Stacy Lea Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669571261NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 100740 (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. Mrs Stacy Lea Johnston allows following entities to bill medicare on her behalf.
Provider NamePark Nicollet Clinic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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 Stacy Lea Johnston 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
Mrs Stacy Lea Johnston, OTR/L
4415 36 1/2 Street West,
St. Louis Park, MN 55416

Ph: (952) 927-9717
Mrs Stacy Lea Johnston, OTR/L
4415 36 1/2 Street West,
St. Louis Park, MN 55416

Ph: (952) 927-9717

Reviews and Comments


Occupational Therapist in St. Louis Park, MN

Mrs. Katie Freidig,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd, St. Louis Park, MN 55426
Phone: 952-993-5256    Fax: 952-993-5585
Danielle Flagstad, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 6500 Excelsior Blvd., St. Louis Park, MN 55426
Phone: 952-993-5000    
Ms. Sarah Juanita Sekimoto, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4415 West 36 1/2 Street, St. Louis Park, MN 55416
Phone: 952-927-9717    
Mrs. Katherine Blair Hall, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3525 Monterey Drive, St. Louis Park, MN 55416
Phone: 952-993-6200    

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.