MRS. MARY JO JOHNSON (CNM, CNP) – Advanced Practice Midwife, NPI 1578550992
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
251 CERTIFIED NURSE MIDWIFE (CNM) in MN
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Provider Addresses for MRS. MARY JO JOHNSON (CNM, CNP)
5215, Avondale Street, Lakeside-Lester Park, East Duluth, Duluth, Saint Louis County, Minnesota, 55804, United States
DULUTH, MN 558041311
Phone: (218) 525-4945
Type: Mailing
Min No Aya Win Human Services Center, 927, Trettel Lane, Cloquet, Carlton County, Minnesota, 55720, United States
CLOQUET, MN 557201345
Phone: (218) 879-1227
Fax: (218) 878-2136
Type: Location
3625 W 65TH ST STE 100
EDINA, MN 554352147
Phone: (952) 920-7001
Type: Location
927 Trettel Ln
Cloquet, MN 557201345
Phone: (218) 879-1227
Fax: (218) 878-2136
Type: Location
15014 BRIDGEWATER DR
SAVAGE, MN 553785618
Phone: (218) 340-7369
Type: Mailing
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 $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-06-17 • Largest payer in this snapshot: CooperSurgical, Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperSurgical, Inc. | $15 |
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: 2005-06-20
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 |
|---|---|---|---|---|
| I20050620000844 | I | Certified Nurse Midwife (Cnm) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Physician Assistant | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Registered Dietitian Or Nutrition Professional | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Physician Assistant | MN |
Reviews
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