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

Kimberly Ann Johnson, CNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1295014520

Kimberly Ann Johnson, CNP is a Nurse Practitioner in Hermantown, Minnesota. Qualified in 2011, 15 years ago. Practices with Northern Waters Clinic, a 2-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2011
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4899 Miller Trunk Hwy Ste 208
Hermantown, MN 55811-1582
Phone: (218) 727-3888
Fax: (218) 260-4772
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (3)

  • 40 11th St, Cloquet, MN 55720-1817 — (218) 879-4559
  • 40 11th St, Cloquet, MN 55720-1817 — (218) 879-4559
  • 4897 Miller Trunk Hwy Ste 208, Hermantown, MN 55811-1697 — (218) 727-3888

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1510 (MN)

Record details

NPI number1295014520
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 4, 2011
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Northern Waters Clinic — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Hermantown