EMILY LOU JOHNSON (PA-C) – Physician Assistant, NPI 1013309715
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for EMILY LOU JOHNSON (PA-C)
4200 DAHLBERG DR STE 300
GOLDEN VALLEY, MN 554224841
Phone: (952) 512-5600
Type: Mailing
2925 CHICAGO AVE
MINNEAPOLIS, MN 554071321
Phone: (612) 262-5000
Type: Mailing
4010 W 65TH ST
EDINA, MN 554351706
Phone: (952) 456-7000
Fax: (952) 456-7001
Type: Location
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 553693492
Phone: (763) 520-7870
Fax: (763) 520-7580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-04-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150414000678 | I | Physician Assistant | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 116 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 83 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 49 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 40 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 36 | 36 | $0 |
Insurance plans in this area (ZIP 55422)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Family Practice | MN | |
| Family Practice | MN | |
| N E U R O L O G Y | MN | |
| Physician Assistant | IA | |
| Diagnostic Radiology | CT | |
| Diagnostic Radiology | MN | |
| - | MN | |
| Family Practice | MN | |
| - | MN |
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