Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Lea Johnson, DNP

Individual provider Nurse Practitioner · NPI 1679357131

Andrea Lea Johnson, DNP is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2023, 3 years ago. Practices with Innovis Health LLC, a 573-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2023
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

3000 32nd Ave S
Fargo, ND 58103-6132
Phone: (017) 364-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R44761 (ND)
Nurse Practitioner Taxonomy 363L00000X · Licence R44761 (ND)

Record details

NPI number1679357131
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address420 Southwood Dr, Horace, ND 58047-4410

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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