JAN DIANE JOHNSON (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1407856859

JAN DIANE JOHNSON (MD) is a healthcare provider. based in New brighton, Minnesota. specializing in Critical Care Medicine (Internal Medicine) Physician. They hold the professional credentials MD. They hold a License No. 25663 (MN). The NPI Number for JAN DIANE JOHNSON (MD) is 1407856859

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
JAN DIANE JOHNSON (MD)
NPI
1407856859
Phone
(651) 631-3759
Address
900 LONG LAKE RD
Enumeration Date
28 July 2005
Last Update Date
24 March 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6127758866
Graduation Year
1979 (47 years ago)
PAC ID
8527022649
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20041117000824
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JAN DIANE JOHNSON (MD)

  • Long Lake Rd, County Road D West, New Brighton, Ramsey County, Minnesota, 55112, United States

    STE 160

    NEW BRIGHTON, MN 551126414

    Phone: (651) 631-3759

    Fax: (612) 706-9617

    Type: Mailing

  • Stinson Blvd, East Hennepin Avenue, Minneapolis, Hennepin County, Minnesota, 55413, United States

    STE 404

    MINNEAPOLIS, MN 554213488

    Phone: (612) 706-9630

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 55112)

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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: 4587573613View full group profile
NameSpecialtyState
DR. JOHN PAUL BERGER (D.O.)
Pulmonary DiseaseCO
DR. JULIA BRADEN REITZ (AU.D.)
Qualified AudiologistMN
EMILY FUNK (M.D.)
Family PracticeMN
EFRAT EICHENBAUM (LP, PHD)
-MN
DR. DAVID SHRAKE (D.O.)
Family PracticeMN
SADIE MARIE NELSON (APRN, CNP)
Nurse PractitionerND
JEFFREY C. MANLOVE (M.D.)
-MN
DR. ROBIN D MCALLISTER (MD)
-MN
Unknown Individual
-MN
LOIS A KUBITSCHEK (GNP)
-MN

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Frequently asked questions

How is JAN DIANE JOHNSON (MD) identified in CMS data?
CMS-hosted NPPES data lists JAN DIANE JOHNSON (MD) with NPI 1407856859.
Is JAN DIANE JOHNSON (MD) still practicing?
JAN DIANE JOHNSON (MD) is currently listed as active in the public NPI registry.
What is JAN DIANE JOHNSON (MD) best known for clinically?
Directory data describes JAN DIANE JOHNSON (MD) with Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JAN DIANE JOHNSON (MD) on a map?
Expect New Brighton, Minnesota as a primary anchor for JAN DIANE JOHNSON (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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