Question 1

What type of a medical provider is Thomas Johnson?

Accepted Answer

Thomas Johnson is a Nurse Practitioner (Psych/Mental Health).

Question 2

Where does Thomas Johnson practice medicine?

Accepted Answer

Thomas Johnson has the following practice address:516 S POKEGAMA AVE, GRAND RAPIDS, MN 55744-3820

Question 3

Does this provider have a license number?

Accepted Answer

Thomas Johnson has 2 license numbers, including: License Number 2950 issued in Minnesota.

Question 4

Does Thomas Johnson accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Thomas Johnson have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Thomas Johnson a member of any Medical Groups?

Accepted Answer

Thomas Johnson is not affiliated with any medical groups.

Question 7

Does Thomas Johnson participate in PECOS?

Accepted Answer

Yes, Thomas Johnson participates in PECOS.

Question 8

What phone number can I call to contact Thomas Johnson?

Accepted Answer

You can call the following number: (218)-327-2001

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Thomas Johnson.

Question 10

Is Thomas Johnson  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 2 years ago (11/29/2023).

Taxonomy	State	Primary?
Nurse Practitioner (Psych/Mental Health) - Taxonomy Code 363LP0808X	MN	Y
Registered Nurse - Taxonomy Code 163W00000X	MN	N
Multi-Specialty Group - Taxonomy Code 193200000X	MN	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Thomas Johnson

Overview