Nicholas Roy Johnson, PA-C
NPI 1902534910ActiveIndividual· Physician Assistant· Maple Grove, MN
Physician Assistant (PA-C) with Fairview Express Care, practicing in Maple Grove, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $20,692 for 238 claims, against $6,733 paid for services in 2024. Syndax Pharmaceuticals, Inc. reported $18.03 in payments in 2025, mostly food and beverage. Lists M Health Fairview University of Mn Medical Center as a hospital affiliation.
Overview
| NPI | 1902534910 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 9, 2022 |
| Last updated in NPPES | Oct 13, 2022 |
| Certified by provider | Oct 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14147 | 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 - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 127 across 12 procedure codes |
| Paid by Medicare | $6,733 |
Part D prescriptions in 2024
| Prescriptions (claims) | 238 · 279 30-day fills |
|---|---|
| Patients | 69 |
| Total drug cost | $20,692 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Fairview Express CareMinneapolis, MN · 1,911 clinicians
Hospital affiliation
- M Health Fairview University of Mn Medical CenterMinneapolis, MN
Industry payments (Open Payments)
- 2025$18.03 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Syndax Pharmaceuticals, Inc. | $18.03 | 1 |
What the 2025 payments were for
- Food and Beverage$18.03 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 63 physician assistants in Maple Grove · All physician assistants in Minnesota