Emma Johnson
NPI 1124769252ActiveIndividual· Physician Assistant· Bloomington, MN
Physician Assistant in Bloomington, Minnesota, licensed in MN, with an NPI issued in April 2022. 19 Medicare patients in 2024, $1,283 paid; nearly all of their 114 Part D prescriptions were generic (96%). Grifols USA, LLC reported $99.87 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1124769252 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 5, 2022 |
| Last updated in NPPES | Oct 18, 2023 |
| Certified by provider | Oct 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14586 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 23 across 12 procedure codes |
| Paid by Medicare | $1,283 |
Part D prescriptions in 2024
| Prescriptions (claims) | 114 · 121 30-day fills |
|---|---|
| Patients | 77 |
| Total drug cost | $1,770 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
- 2024$99.87 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Grifols USA, LLC | $99.87 | 1 |
What the 2024 payments were for
- Food and Beverage$99.87 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Bloomington
- 1477832723
- 1346414281
- 1588035612
- 1972153765
- 1891364600
- 1528673829
- 1437847860
- 1508725102
- 1811633233
- 1649407107
- 1457879678
- 1710241914