LEOLA JOHNSON (RN, CNS) – Psychiatric/Mental Health Nurse Practitioner, NPI 1689008062
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
104 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in MN
Provider Addresses for LEOLA JOHNSON (RN, CNS)
13021 EVERGREEN DR
BAXTER, MN 564257439
Phone: (218) 829-9307
Fax: (218) 829-7649
Type: Mailing
1900 SILVER LAKE RD NW
SUITE 110
NEW BRIGHTON, MN 551121786
Phone: (651) 628-9566
Fax: (651) 628-0411
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: 2013-09-25
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 |
|---|---|---|---|---|
| I20130925000434 | I | Certified Clinical Nurse Specialist (Cns) | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 35 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 23 | 13 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 21 | 16 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 56425)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED CLINICAL NURSE SPECIALIST | MN | 90792 | Psychiatric diagnostic evaluation with medical services | 31 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Nurse Practitioner | MN | |
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| Nurse Practitioner | MN | |
| Emergency Medicine | MN | |
| Nurse Practitioner | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Diagnostic Radiology | MN | |
| Nurse Practitioner | MN | |
| Hospitalist, Internal Medicine, Internal Medicine, Hospitalist | WI |
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