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Active NPI 1417387598 Individual Practitioner Female Practitioner

Maritza Johnson , ANP

Nurse Practitioner - Gerontology • Minnetonka, MN

Professional Overview & Biography Verified Profile Summary

Maritza Johnson, ANP is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Minnetonka, MN. Practice services are available at 9900 BREN RD E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9900 Bren Rd E

Minnetonka, MN 553439664

Telephone 3174992606
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 11.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Minnetonka, MN (365 Statewide)

Telehealth Adoption Rate
4.2% 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: 2020-07-07
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License IN 71004666A

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003059478

NURSEPRACTITIONER

Alane Hartlage , NP

Nurse Practitioner - Gerontology

NPI 1003086703

Nurse Practitioner

Dawn Schaefer , NP

Nurse Practitioner

NPI 1003183880

Nurse Practitioner

Mellen Townsend

Nurse Practitioner - Family

NPI 1003462284
Raul Rodriguez , FNP

Nurse Practitioner - Family

NPI 1013261379

Family Nurse Practitioner

Karry Audain , APRN

Nurse Practitioner - Family

NPI 1013338441

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 07, 2020

Registered at 9900 BREN RD E, MINNETONKA, MN 553439664 (Tel: 3174992606)

📍
Updated Business Mailing Address July 07, 2020

Registered at 11122 TURFGRASS WAY, INDIANAPOLIS, IN 462368321 (Tel: 3173745181)

NPI Profile Active November 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2013

Registered at 1001 W 10TH ST # M-200, INDIANAPOLIS, IN 462022859 (Tel: 3172027979)

📍
Updated Business Mailing Address November 26, 2013

Registered at 1001 W 10TH ST # M-200, INDIANAPOLIS, IN 462022859 (Tel: 3172027979)

👤
Provider Name / Credentials Updated November 26, 2013

Recorded as MARITZA JOHNSON, ANP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2013

Nurse Practitioner (License #71004666A in IN)

🟢
Initial NPI Registration & Enumeration November 26, 2013

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: 1417387598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2013
Last Update: July 07, 2020
Sole Proprietor: No

Mailing Address

11122 Turfgrass Way

Indianapolis, IN 462368321

Phone: 3173745181

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.