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Active NPI 1902534910 Individual Practitioner Male Practitioner

Nicholas Roy Johnson , PA-C

Physician Assistant • Maple Grove, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nicholas Johnson, PA-C is a certified Physician Assistant practicing in Maple Grove, MN. With approximately 4 years of clinical experience since completing medical education in 2022, Nicholas Johnson delivers high-quality medical care to the local community at 14500 99TH AVE N.

Nicholas Johnson is affiliated with Fairview Express Care and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, biopsy and aspiration of bone marrow sample for diagnosis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14500 99th Ave N

Maple Grove, MN 553694730

Telephone 7638981000
Fax 7638981009
Associated Practice Facility / Clinic
🏢 Fairview Clinics Facility NPI 1841315165

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maple Grove, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.2 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
63 Specialists

Practicing in Maple Grove, MN (4026 Statewide)

Telehealth Adoption Rate
38.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
86.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (4 Years) 4 Yrs
Maple Grove Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
32 23 $693.94 $115.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 21 $491.80 $78.22
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
22 12 $43.00 $13.35
38222 Biopsy and aspiration of bone marrow sample for diagnosis
20 18 $686.00 $59.79

Medical Specialties & State Licenses

CMS Verified: 2022-10-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 14147

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Fairview Express Care

909 Fulton St Se, Minneapolis, MN 554554800

Phone: 6126764483

Fairview Express Care

500 Harvard St Se, Minneapolis, MN 554550363

Phone: 6126727422

Fairview Express Care

909 Fulton St Se, Minneapolis, MN 554554800

Phone: 6126727422

Fairview Express Care

717 Delaware St Se, Minneapolis, MN 554142959

Phone: 6126727422

Secondary Practice Locations

11111 Anderson Lakes Pkwy

Eden Prairie, MN 553444145

Phone: 9524513906

Practice Associates & Co-Workers

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

40 Associated Practitioners
Heather Lage , RN, CDE

Registered Nurse - Diabetes Educator

NPI 1003161787

Registered Nurse, Certified Diabetes Educator

Dr. Michaela Monetti , PhD, LP

Psychologist - Clinical

NPI 1033585914

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Dr. Katti Woerner , DO

Internal Medicine - Nephrology

NPI 1043486590

Doctor of Osteopathic Medicine (D.O.)

Dr. Kristin Mcbeath , DO

Internal Medicine - Gastroenterology

NPI 1073855367

Doctor of Osteopathic Medicine (D.O.)

Jennifer Bremer , RD, LD

Dietitian, Registered

NPI 1114627171

Registered Dietitian, Licensed Dietitian

Dr. Aazim Omer , MD

Internal Medicine - Hematology & Oncology

NPI 1134382690

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 13, 2022

Registered at 14500 99TH AVE N, MAPLE GROVE, MN 553694730 (Tel: 7638981000)

NPI Profile Active August 09, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2022

Registered at 11111 ANDERSON LAKES PKWY, EDEN PRAIRIE, MN 553444145 (Tel: 9524513906)

📍
Updated Business Mailing Address August 09, 2022

Registered at 11111 ANDERSON LAKES PKWY, EDEN PRAIRIE, MN 553444145 (Tel: 9524513906)

👤
Provider Name / Credentials Updated August 09, 2022

Recorded as NICHOLAS JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Physician Assistant (License #14147 in MN)

🟢
Initial NPI Registration & Enumeration August 09, 2022

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: 1902534910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2022
Last Update: October 13, 2022
Sole Proprietor: No

Mailing Address

11111 Anderson Lakes Pkwy

Eden Prairie, MN 553444145

Phone: 9524513906

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.