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

Carla Rae Johnson, CNP

Individual provider Gerontology Nurse Practitioner · NPI 1871925479

Carla Rae Johnson, CNP is a Nurse Practitioner in Stillwater, Minnesota. Qualified in 2013, 13 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2013
Specialties on file
4
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone: (651) 342-1039
Fax: (651) 342-1428
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 452 (MN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 452 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 452 (MN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 452 (MN)

Record details

NPI number1871925479
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 6, 2013
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing address270 Main St N Ste 300, Stillwater, MN 55082-6788

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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