Kathleen Johnson, RNC,NP
NPI 1609965854ActiveIndividual· Specialist· Minneapolis, MN
Specialist (RNC,NP) with Park Nicollet Clinic, practicing in Minneapolis, Minnesota. 34 Medicare patients in 2024, $3,047 paid; all of their 53 Part D prescriptions were generic. Lists Park Nicollet Methodist Hospital as a hospital affiliation. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1609965854 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RNC,NP |
| Sole proprietor | No |
| NPI issued | Oct 12, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | R0979500 | MN |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Minnesota, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Kathleen Ruth Johnson · Nurse/Nurses Aide | 1128b4 | Feb 20, 2002 | Minneapolis, MN |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| 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 - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 47 across 9 procedure codes |
| Paid by Medicare | $3,047 |
Part D prescriptions in 2024
| Prescriptions (claims) | 53 · 109 30-day fills |
|---|---|
| Patients | 26 |
| Total drug cost | $1,239 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Hospital affiliation
- Park Nicollet Methodist HospitalSaint Louis Park, MN
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