DR. HEATHER CHRISTINE JOHNSON SERUM (MD) – Internal Medicine Physician, NPI 1730381153

DR. HEATHER CHRISTINE JOHNSON SERUM (MD) is a healthcare provider. based in Eagan, Minnesota. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 51377 (MN). The NPI Number for DR. HEATHER CHRISTINE JOHNSON SERUM (MD) is 1730381153

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. HEATHER CHRISTINE JOHNSON SERUM (MD)
NPI
1730381153
Phone
(651) 406-8860
Address
1440 Duckwood Dr Ste 200
Enumeration Date
5 June 2007
Last Update Date
1 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3206825225
Graduation Year
2006 (20 years ago)
PAC ID
9931225943
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20100928000483
Address ID
MN553021109AN440XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,638 INTERNAL MEDICINE in MN

Provider Addresses for DR. HEATHER CHRISTINE JOHNSON SERUM (MD)

  • 1440 Duckwood Dr Ste 200

    Eagan, MN 551221451

    Phone: (651) 406-8860

    Fax: (651) 688-7864

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Fax: (651) 688-7864

    Type: Mailing

  • Allina Medical Clinic, 8675, Valley Creek Road, Woodbury, Washington County, Minnesota, 55125, United States

    WOODBURY, MN 551252337

    Phone: (651) 241-3000

    Fax: (651) 241-3500

    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: 2010-09-28

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
I20100928000483IInternal MedicineMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample225135$0
99214Established patient office or other outpatient visit, 30-39 minutes12583$0
80053Blood test, comprehensive group of blood chemicals9178$0
83036Hemoglobin a1c level8052$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6565$0
View full utilization report →

Insurance plans in this area (ZIP 55122)

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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

Reviews

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Frequently asked questions

Is there an official ID for DR. HEATHER CHRISTINE JOHNSON SERUM (MD) in U.S. healthcare records?
The official identifier for DR. HEATHER CHRISTINE JOHNSON SERUM (MD) is NPI 1730381153.
Is DR. HEATHER CHRISTINE JOHNSON SERUM (MD) shown as active in public data?
Registry records indicate DR. HEATHER CHRISTINE JOHNSON SERUM (MD) maintains an active NPI.
What area of care is associated with DR. HEATHER CHRISTINE JOHNSON SERUM (MD)?
DR. HEATHER CHRISTINE JOHNSON SERUM (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. HEATHER CHRISTINE JOHNSON SERUM (MD) associated with Eagan?
Public fields place DR. HEATHER CHRISTINE JOHNSON SERUM (MD) around Eagan, Minnesota. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. HEATHER CHRISTINE JOHNSON SERUM (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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