CARLA JOHNS – Family Nurse Practitioner, NPI 1174793012

CARLA JOHNS is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 209.006906 (IL). The NPI Number for CARLA JOHNS is 1174793012

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
CARLA JOHNS
NPI
1174793012
Phone
(612) 659-7111
Address
920 2ND AVE S
Enumeration Date
6 March 2008
Last Update Date
31 December 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474022300
Graduation Year
2007 (19 years ago)
PAC ID
0042388449
Group Practice PAC ID
3971764762
Professional Enrollment ID
I20081013000441
Address ID
IL600622129NO4179XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for CARLA JOHNS

  • Paul Baertschi Attorney, 920, 2nd Avenue South, Minneapolis, Hennepin County, Minnesota, 55402, United States

    SUITE 400

    MINNEAPOLIS, MN 554023318

    Phone: (612) 659-7111

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Exact Sciences Corporation ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-10-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081013000441INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971764762View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
C H I R O P R A C T I CIL
Family PracticeIL
C H I R O P R A C T I CIL
Clinical PsychologistIN
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

Can I cross-check CARLA JOHNS using NPI 1174793012?
NPI 1174793012 belongs to CARLA JOHNS; compare other details if you need extra assurance.
Is CARLA JOHNS shown as active in public data?
Registry records indicate CARLA JOHNS maintains an active NPI.
What kind of doctor is CARLA JOHNS?
CARLA JOHNS is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is CARLA JOHNS located near Minneapolis?
CARLA JOHNS currently maps to Minneapolis, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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