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

Johanna Dijkstal Beebe, MD

Individual provider Ophthalmology Physician · NPI 1093073868

Johanna Dijkstal Beebe, MD is an Ophthalmology in St Louis Park, Minnesota. Graduated from University of Minnesota Medical School in 2012, 14 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Minnesota.

Years since qualifying
14
Trained at
University of Minnesota Medical School
Licensed in
IA, MN
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3900 Park Nicollet Blvd
St Louis Park, MN 55416-2503
Phone: (952) 993-3150
Show map & directions

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

Additional practice locations (1)

  • 200 Hawkins Dr, Iowa City, IA 52242-1009 — (319) 356-1616

Specialties & licences

Neuro-ophthalmology Physician (primary) Taxonomy 207WX0109X · Licence 62075 (MN)
Ophthalmology Physician Taxonomy 207W00000X · Licence R-9642 (IA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 62075 (MN)
Ophthalmology Physician Taxonomy 207W00000X · Licence MD-43469 (IA)

Record details

NPI number1093073868
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2012
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2012 (14 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in St Louis Park