Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nicholas Roy Johnson , PA-C

Physician Assistant โ€ข Maple Grove, MN

Active NPI 1902534910 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

14500 99th Ave N
Maple Grove, MN 553694730

Call 7638981000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14500 99th Ave N

Maple Grove, MN 553694730

Telephone 7638981000
Fax 7638981009
Organization at the Same NPPES Address or Phone
Fairview Clinics Facility NPI 1841315165

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Eden Prairie, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Fairview Express Care. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2022

Medicare patients

52 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $7,156 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $5,649 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

84 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$3,577 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $18.03 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

4 years (graduated 2022)

CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nicholas Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nicholas Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Maple Grove and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: 263. Middle half: 162 to 692.

Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: 192. Middle half: 86 to 384.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: $20,276. Middle half: $9,958 to $36,014.

A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $13,293. Middle half: $6,209 to $23,808.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 38 clinicians with data). Median for this group: $14,789. Middle half: $7,778 to $24,833.

A lower Medicare payment amount than 65% of clinicians listed under Physician Assistant in Minnesota (2024, 2,405 clinicians with data). Median for this group: $9,818. Middle half: $4,558 to $17,894.

Medicare Part D prescriptions

Fewer Part D prescriptions than 90% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 40 clinicians with data). Median for this group: 833. Middle half: 275 to 1,928.

Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: 226. Middle half: 71 to 825.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under Physician Assistant in Maple Grove, MN (2024, 40 clinicians with data). Median for this group: $61,272. Middle half: $3,116 to $172,934.

Close to the middle for clinicians listed under Physician Assistant in Minnesota (2024, 2,421 clinicians with data). Median for this group: $3,260. Middle half: $590 to $83,279.

62 active clinicians are listed under Physician Assistant with a practice address in Maple Grove, MN (4,007 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Maple Grove

38.7% of these 62 clinicians have the CMS telehealth indicator.

80.6% of these 62 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $18.03.

Manufacturer Payment Nature Product Type Amount ($)
Syndax Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
โ€” General $18.03

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
32 23 $693.94 $115.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 21 $491.80 $78.22
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
22 12 $43.00 $13.35
38222 Biopsy and aspiration of bone marrow sample for diagnosis
20 18 $686.00 $59.79

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Acyclovir Acyclovir 34 1,064 $538.42 18
Pantoprazole Sodium Pantoprazole Sodium 13 405 $56.64 12
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 13 504 $73.82 11
Sirolimus Sirolimus 11 435 $2,908.61 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 14147

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20220929003142

Enrollment State Jurisdiction

MN

PECOS Control ID

9739565649

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Fairview Express Care

909 Fulton St Se, Minneapolis, MN 554554800

Phone: 6126764483

Fairview Express Care

500 Harvard St Se, Minneapolis, MN 554550363

Phone: 6126727422

Fairview Express Care

909 Fulton St Se, Minneapolis, MN 554554800

Phone: 6126727422

Fairview Express Care

717 Delaware St Se, Minneapolis, MN 554142959

Phone: 6126727422

Secondary Practice Locations

11111 Anderson Lakes Pkwy

Eden Prairie, MN 553444145

Phone: 9524513906

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

27 listed
NPI 1760498414

Doctor of Medicine (M.D.)

Dr. Heather Beckwith , MD

Internal Medicine - Medical Oncology

NPI 1780879940

Doctor of Medicine (M.D.)

Dr. Elizabeth Fronek , MD

Obstetrics & Gynecology - Obstetrics

NPI 1700373719

Doctor of Medicine (M.D.)

Nitika Ghattaura

Internal Medicine - Rheumatology

NPI 1356748495
Libin Ho , MD-PHD

Internal Medicine

NPI 1932171188

MDPHD

Dr. Kimberly Jacobsen , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1386945004

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Practice Location October 13, 2022

Registered at 14500 99TH AVE N, MAPLE GROVE, MN 553694730 (Tel: 7638981000)

โœ…
NPI Profile Active August 09, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 09, 2022

Registered at 11111 ANDERSON LAKES PKWY, EDEN PRAIRIE, MN 553444145 (Tel: 9524513906)

๐Ÿ“
Business Mailing Address (Initial Record) August 09, 2022

Registered at 11111 ANDERSON LAKES PKWY, EDEN PRAIRIE, MN 553444145 (Tel: 9524513906)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 09, 2022

Recorded as NICHOLAS JOHNSON, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Physician Assistant (license number reported to NPPES: MN 14147)

๐ŸŸข
Initial NPI Registration & Enumeration August 09, 2022

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1902534910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2022
Last Update: October 13, 2022
Sole Proprietor: No

Other Physician Assistants in Maple Grove

All Physician Assistants in Maple Grove

Mailing Address

11111 Anderson Lakes Pkwy

Eden Prairie, MN 553444145

Phone: 9524513906

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.