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Stacy Kristina Johnson , NP

Nurse Practitioner β€’ Saint Cloud, MN

Active NPI 1215110341 Individual Practitioner Female Practitioner
Practice location in NPPES

1555 Northway Dr
Saint Cloud, MN 563034555

Call 3202594100 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

1555 Northway Dr

Saint Cloud, MN 563034555

Telephone 3202594100
Fax 3202598044
Organization at the Same NPPES Address or Phone
St. Cloud Orthopedic Associates, Ltd. Facility NPI 1083638761

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

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2007

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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

Guide: How Medicare covers telehealth

Compared with the same specialty in Saint Cloud and Minnesota

38 active clinicians are listed under Nurse Practitioner with a practice address in Saint Cloud, MN (2,583 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Cloud

21.1% of these 38 clinicians have the CMS telehealth indicator.

57.9% of these 38 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MN R182400-7

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

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

Clinicians Sharing This Practice Address or Phone

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

40 listed
Hans Backlund , PA-C

Physician Assistant

NPI 1346733144

Physician Assistant (Certified)

Dr. Sara Botterill , MD

Physical Medicine & Rehabilitation

NPI 1881809549

Doctor of Medicine (M.D.)

Stefani Burandt

Physician Assistant

NPI 1861842569
Teresa Dufresne

Occupational Therapist

NPI 1760922405
NPI 1629377296

Doctor of Medicine (M.D.)

Marianne Foldesi , PA-C

Physician Assistant - Medical

NPI 1558390336

Physician Assistant (Certified)

Career & Practice History

NPI enumerated December 12, 2007.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1215110341
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2007
Last Update: December 12, 2007
Sole Proprietor: No

Other Nurse Practitioners in Saint Cloud

All Nurse Practitioners in Saint Cloud

Mailing Address

1555 Northway Dr

Saint Cloud, MN 563034555

Phone: 3202594100

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.