Carla Rae Johnson, CNP
NPI 1871925479ActiveIndividual· Nurse Practitioner, Gerontology· Stillwater, MN
Nurse Practitioner, Gerontology (CNP) with Grand Itasca Clinic and Hospital and 1 other group, practicing in Stillwater, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $145,091 for 3,220 claims, against $24,491 paid for services in 2024. Lists Grand Itasca Clinic and Hospital as a hospital affiliation.
Overview
| NPI | 1871925479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNP |
| Sole proprietor | No |
| NPI issued | Aug 6, 2013 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 452 | MN |
| Nurse Practitioner, Adult Health | 363LA2200X | 452 | MN |
| Nurse Practitioner | 363L00000X | 452 | MN |
| Nurse Practitioner, Primary Care | 363LP2300X | 452 | MN |
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 - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 99 |
|---|---|
| Services billed | 332 across 6 procedure codes |
| Paid by Medicare | $24,491 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,220 · 3,305 30-day fills |
|---|---|
| Patients | 148 |
| Total drug cost | $145,091 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Grand Itasca Clinic and HospitalGrand Rapids, MN · 323 clinicians
- Bluestone Physician Services PAStillwater, MN · 63 clinicians
Hospital affiliation
- Grand Itasca Clinic and HospitalGrand Rapids, MN
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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