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Active NPI 1891710984 Individual Practitioner Female Practitioner

Jacquelyn Lee Johnson , CNP

Nurse Practitioner • Little Falls, MN

Professional Overview & Biography Verified Profile Summary

Jacquelyn Johnson, CNP is a registered healthcare professional specializing in Nurse Practitioner in Little Falls, MN. Practice services are available at 811 2ND ST SE under active NPI credentials.

Frequently performed procedures and clinical services include nursing facility discharge day management, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

811 2nd St Se
Suite A

Little Falls, MN 563453559

Telephone 3206317000
Fax 3206320534
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Little Falls, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Little Falls, MN (2609 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99315 Nursing facility discharge day management, 30 minutes or less
19 19 $185.95 $61.75

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN R108719-0

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
044997100 (MN)
Commercial Insurance / Payer ID Ucare Minnesota
140376C736 (MN)
Commercial Insurance / Payer ID Health Partners
HP33899
Commercial Insurance / Payer ID Medica
0107328
Commercial Insurance / Payer ID Preferred One
NA9231028468
Commercial Insurance / Payer ID Bcbs Of Minnesota
47G13JO (MN)
Commercial Insurance / Payer ID Tricare
A024 (MN)

Practice Associates & Co-Workers

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

30 Associated Practitioners
Christina Timm , APRN, CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053022954

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Mary Klinker , MD

Family Medicine

NPI 1104841295

Doctor of Medicine (M.D.)

Michelle Lanning , NP

Nurse Practitioner - Family

NPI 1144876103

Nurse Practitioner

Dr. Ryan Kray , MD

Family Medicine

NPI 1164454567

Doctor of Medicine (M.D.)

NPI 1245460450

Doctor of Medicine (M.D.)

NPI 1255207932

BSNRNPHN

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2015

Registered at 811 2ND ST SE, SUITE A, LITTLE FALLS, MN 563453559 (Tel: 3206317000)

📍
Updated Business Mailing Address February 16, 2015

Registered at 811 2ND ST SE, SUITE A, LITTLE FALLS, MN 563453559 (Tel: 3206317000)

👤
Provider Name / Credentials Updated February 16, 2015

Recorded as JACQUELYN JOHNSON, C.N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2015

Nurse Practitioner (License #R108719-0 in MN)

🟢
Initial NPI Registration & Enumeration July 12, 2006

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: 1891710984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2006
Last Update: February 16, 2015
Sole Proprietor: No

Mailing Address

811 2nd St Se, Suite A

Little Falls, MN 563453559

Phone: 3206317000

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.