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

Ludmila Stanislavivna Johnson, NP

Individual provider Family Nurse Practitioner · NPI 1790062545

Ludmila Stanislavivna Johnson, NP is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2010, 16 years ago. Practices with University of Minnesota Health Clinics and Surgery Center Inc, a 615-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

516 Delaware St SE
Minneapolis, MN 55455-0356
Phone: (612) 626-6688
Fax: (612) 626-3217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R 172283-7 (MN)

Record details

NPI number1790062545
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 8, 2011
Last updated in NPPESJanuary 13, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University Of Minnesota Health Clinics And Surgery Center Inc — 615 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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