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Active NPI 1437554482 Individual Practitioner Male Practitioner

Gregory M Johnson , APRN, CNP

Nurse Practitioner - Pediatrics • Park Rapids, MN

Professional Overview & Biography Verified Profile Summary

Gregory Johnson, APRN, CNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Park Rapids, MN. Practice services are available at 705 PLEASANT AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

705 Pleasant Ave S

Park Rapids, MN 564701440

Telephone 2187322800
Fax 2187322857
Associated Practice Facility / Clinic
🏢 Dakota Clinic, Ltd. Facility NPI 1124079488

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Park Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Park Rapids, MN (480 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: 2021-02-25
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MN 3084

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MN R 223267-2

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1437554482 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jonathon Peterson , PT

Physical Therapist

NPI 1003008525

Physical Therapist

Kathryn Nevins , CNP

Nurse Practitioner - Family

NPI 1013343284

Certified Nurse Practitioner

Genevieve Keranen , CDE

Nutritionist - Nutrition, Education

NPI 1033156997

Certified Diabetes Educator

Megan Meyers

Physician Assistant

NPI 1043067150
NPI 1043309065

Doctor of Medicine (M.D.)

Troy Schmitz , OTR

Occupational Therapist

NPI 1043462831

Occupational Therapist Registered

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Business Mailing Address February 25, 2021

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940

👤
Provider Name / Credentials Updated February 25, 2021

Recorded as GREGORY JOHNSON, APRN,CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2021

Nurse Practitioner (License #3084 in MN)

NPI Profile Active December 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 26, 2015

Registered at 705 PLEASANT AVE S, PARK RAPIDS, MN 564701440 (Tel: 2187322800)

📍
Updated Business Mailing Address December 26, 2015

Registered at 1027 WASHINGTON AVE, DETROIT LAKES, MN 565013409 (Tel: 2187322800)

👤
Provider Name / Credentials Updated December 26, 2015

Recorded as GREGORY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2015

Registered Nurse (License #R 223267-2 in MN)

🟢
Initial NPI Registration & Enumeration November 01, 2014

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: 1437554482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2014
Last Update: February 25, 2021
Sole Proprietor: No

Mailing Address

1702 University Dr S

Fargo, ND 581034940

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.