NICOLE JOHNSON NP NPI 1811635014

NPI Information

  • NPI: 1811635014
  • Provider Name: NICOLE JOHNSON, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 410 W. 4TH ST
    MAHNOMEN, MN
    ZIP 56557
  • Phone: (218) 935-2514

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NPI Details

Nicole Johnson, NP is a family nurse practitioner in Mahnomen, MN with 4 years of experience. Nicole Johnson, NP NPI is 1811635014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

410 W. 4TH ST
MAHNOMEN, MN
ZIP 56557
Phone: (218) 935-2514

The NPI 1811635014 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2022 and was last updated on 5/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2022003041SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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