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

Dr. Mandi Lynn Johnson, MD

Individual provider Family Medicine Physician · NPI 1639374960

Dr. Mandi Lynn Johnson, MD is a Family Practice in Grand Forks, North Dakota. Graduated from University of North Dakota School of Medicine in 2007, 19 years ago. Practices with P R Health Corporation, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
19
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

749 S 30th St Apt 111
Grand Forks, ND 58201-4076
Phone: (701) 436-9525
Fax: (800) 608-6469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 Vivian St W, Park River, ND 58270-4540 — (701) 284-7555

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 11698 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence TRL10631 (ND)
Family Medicine Physician Taxonomy 207Q00000X · Licence PT11698 (ND)

Record details

NPI number1639374960
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 18, 2007
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice P R Health Corporation — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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