JENNIFER SUE JOHNSON (D.O.) – Family Medicine Physician, NPI 1952504177
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,076 FAMILY PRACTICE in MN
Provider Addresses for JENNIFER SUE JOHNSON (D.O.)
1695 Lor Ray Dr
ISJ NorthRidge
North Mankato, MN 560032804
Phone: (507) 385-5700
Fax: (507) 387-5701
Type: Location
Mayo Clinic Health System, 1025, Marsh Street, High Ciara, Mankato, Blue Earth County, Minnesota, 56001, United States
MANKATO, MN 560014752
Phone: (507) 625-4031
Type: Mailing
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: 2007-10-10
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 |
|---|---|---|---|---|
| I20071010000548 | I | Family Practice | 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 | 225 | 137 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 215 | 113 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 66 | 47 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 49 | 49 | $0 |
| G0008 | Administration of influenza virus vaccine | 18 | 18 | $0 |
Insurance plans in this area (ZIP 56003)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | MN | 85610 | Blood test, clotting time | 79 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Family Practice | MN | |
| Internal Medicine | ONTARIO | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Family Practice | AR |
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