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

Mrs. Mary Jo Johnson, CNM, CNP

Individual provider Advanced Practice Midwife · NPI 1578550992

Mrs. Mary Jo Johnson, CNM, CNP is a Certified Nurse Midwife (CNM) in Edina, Minnesota. Graduated from University of Minnesota Medical School in 1999, 27 years ago. Practices with Premier OBGYN of Minnesota PLLC, a 89-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
27
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2005
Specialties on file
2
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

3625 W 65th St Ste 100
Edina, MN 55435-2147
Phone: (952) 920-7001
Show map & directions

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

Additional practice locations (1)

  • 927 Trettel Ln, Cloquet, MN 55720-1345 — (218) 879-1227

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence R123626-8 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R123626-8 (MN)

Record details

NPI number1578550992
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM , CNP
Sole proprietorNo
NPI enumeratedSeptember 30, 2005
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1999 (27 years in practice)
Group practice Premier Obgyn Of Minnesota Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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