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Jennifer Joray Johnson

NPI 1811734304ActiveIndividual· Nurse Practitioner, Family· Maplewood, MN

Nurse Practitioner, Family with Fairview Clinics and 1 other group, practicing in Maplewood, Minnesota. 42 Medicare patients in 2024, $3,475 paid; nearly all of their 63 Part D prescriptions were generic (92%). Lists M Health Fairview St John's Hospital as a hospital affiliation.

Overview

NPI1811734304
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 11, 2024
Last updated in NPPESJul 11, 2024
Certified by providerJun 17, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X11754MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients42
Services billed84 across 21 procedure codes
Paid by Medicare$3,475

Part D prescriptions in 2024

Prescriptions (claims)63 · 64 30-day fills
Patients53
Total drug cost$972.15
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyNurse Practitioner

Medical groups

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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