STACEY LYNN JOHNSON (MA) – Audiologist, NPI 1861617367

STACEY LYNN JOHNSON (MA) is a healthcare provider. based in Saint cloud, Minnesota. specializing in Audiologist. They hold the professional credentials MA. The NPI Number for STACEY LYNN JOHNSON (MA) is 1861617367

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
STACEY LYNN JOHNSON (MA)
NPI
1861617367
Phone
(320) 252-0233
Address
1528 NORTHWAY DR
Enumeration Date
17 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
3202520233
Graduation Year
2003 (23 years ago)
PAC ID
7315045853
Group Practice PAC ID
5496774242
Professional Enrollment ID
I20070607000363
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for STACEY LYNN JOHNSON (MA)

  • 1528 NORTHWAY DR

    SAINT CLOUD, MN 563031255

    Phone: (320) 252-0233

    Fax: (320) 252-1421

    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)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

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

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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
92557Comprehensive hearing and speech recognition test3332$0
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Insurance plans in this area (ZIP 56303)

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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: 5496774242View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMN
Qualified Speech Language PathologistMN
O T O L A R Y N G O L O G YMN
Qualified AudiologistMN
O T O L A R Y N G O L O G YAK
O T O L A R Y N G O L O G YMN
Qualified AudiologistMN
Qualified AudiologistMN
O T O L A R Y N G O L O G YMN
Qualified AudiologistMN

Reviews

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Frequently asked questions

What NPI should I save for STACEY LYNN JOHNSON (MA)?
Save NPI 1861617367 if you need a stable reference for STACEY LYNN JOHNSON (MA).
Is STACEY LYNN JOHNSON (MA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is STACEY LYNN JOHNSON (MA)?
The page reflects Audiologist for STACEY LYNN JOHNSON (MA). Clinical services aligned with this taxonomy classification.
Where is STACEY LYNN JOHNSON (MA)'s primary listing?
We display Saint Cloud, Minnesota because that is what the record indicates for STACEY LYNN JOHNSON (MA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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