Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215110341 Individual Practitioner Female Practitioner

Stacy Kristina Johnson , NP

Nurse Practitioner • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Stacy Johnson, NP is a registered healthcare professional specializing in Nurse Practitioner in Saint Cloud, MN. Practice services are available at 1555 NORTHWAY DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1555 Northway Dr

Saint Cloud, MN 563034555

Telephone 3202594100
Fax 3202598044
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
38 Specialists

Practicing in Saint Cloud, MN (2609 Statewide)

Telehealth Adoption Rate
21.1% 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN R182400-7

(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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Trevor Mciver , MD

Orthopaedic Surgery

NPI 1003059510

Doctor of Medicine (M.D.)

Emil Trutwin

Physician Assistant

NPI 1023544848
Carly Gerding , PA-C

Physician Assistant

NPI 1043884299

Physician Assistant (Certified)

Morgan Johnson , PT

Physical Therapist

NPI 1093444713

Physical Therapist

Dr. David Kaus , MD

Orthopaedic Surgery

NPI 1093747701

Doctor of Medicine (M.D.)

Dr. Jared Gabrelcik , OTD OTR, L

Occupational Therapist

NPI 1134885569

OTDOTR, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 12, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2007

Registered at 1555 NORTHWAY DR, SAINT CLOUD, MN 563034555 (Tel: 3202594100)

📍
Updated Business Mailing Address December 12, 2007

Registered at 1555 NORTHWAY DR, SAINT CLOUD, MN 563034555 (Tel: 3202594100)

👤
Provider Name / Credentials Updated December 12, 2007

Recorded as STACY JOHNSON, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2007

Nurse Practitioner (License #R182400-7 in MN)

🟢
Initial NPI Registration & Enumeration December 12, 2007

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: 1215110341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2007
Last Update: December 12, 2007
Sole Proprietor: No

Mailing Address

1555 Northway Dr

Saint Cloud, MN 563034555

Phone: 3202594100

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.