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

Caleb Johnson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1952247405

Caleb Johnson is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2025, 1 year ago. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2026

Practice location Address checks out

1058 Blair Ave
Saint Paul, MN 55104-2120
Phone: (507) 514-0449
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 14057 (MN)

Record details

NPI number1952247405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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