Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861483711 Individual Practitioner Female Practitioner

Dr. Wendi A Johnson , MD

Pediatrics • Crosby, MN

Professional Overview & Biography Verified Profile Summary

Dr. Wendi Johnson, MD is a registered healthcare professional specializing in Pediatrics in Crosby, MN. Practice services are available at 320 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

320 E Main St

Crosby, MN 564411645

Telephone 2185467000
Fax 2185464400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Crosby, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Crosby, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 42414

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
519112200 (MN)
Commercial Insurance / Payer ID Champus
COMP
Commercial Insurance / Payer ID Rr Medicare
370015800
Commercial Insurance / Payer ID Mmsi
COMP
Commercial Insurance / Payer ID Medica Health Plans
1200672
Commercial Insurance / Payer ID First Health Plan
2115882
Commercial Insurance / Payer ID Araz Group Americas Ppo
940644
Commercial Insurance / Payer ID Preferred One
1023002
Commercial Insurance / Payer ID Blue Cross Blue Shield
86D69HO
Commercial Insurance / Payer ID One Health Plan Great Wes
COMP

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Matthew Fleming , PA-C

Physician Assistant

NPI 1003298381

Physician Assistant (Certified)

Dr. Camille Lang , MD

Family Medicine

NPI 1013165851

Doctor of Medicine (M.D.)

Jamie Withrow , RD, LD, CDE

Dietetic Technician, Registered

NPI 1013386457

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Adam English

Nurse Practitioner - Family

NPI 1013391515
Mitchell Mimbach , PA

Physician Assistant

NPI 1013528900

Physician Assistant

Dr. Rajesh Bhargava , MD

Internal Medicine

NPI 1013995802

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 19, 2020

Registered at 320 E MAIN ST, CROSBY, MN 564411645 (Tel: 2185467000)

📍
Updated Business Mailing Address November 19, 2020

Registered at 320 E MAIN ST, CROSBY, MN 564411645 (Tel: 2185467000)

NPI Profile Active April 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2015

Registered at 1900 CENTRACARE CIRCLE #1300, CENTRACARE CLINIC HEALTH PLAZA PEDIATRICS AND ADOLESCEN, ST CLOUD, MN 563035000 (Tel: 3206543610)

📍
Updated Business Mailing Address April 20, 2015

Registered at 1900 CENTRACARE CIRCLE #1300, CENTRACARE CLINIC HEALTH PLAZA PEDIATRICS AND ADOLESCEN, ST CLOUD, MN 563035000 (Tel: 3206543610)

👤
Provider Name / Credentials Updated April 20, 2015

Recorded as WENDI JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2015

Pediatrics (License #42414 in MN)

🟢
Initial NPI Registration & Enumeration October 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861483711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2005
Last Update: November 19, 2020
Sole Proprietor: No

Mailing Address

320 E Main St

Crosby, MN 564411645

Phone: 2185467000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.