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

Nicole Lynn Johnson

Individual provider Nurse Practitioner · NPI 1861015893

Nicole Lynn Johnson is a Nurse Practitioner in Red Wing, Minnesota. Qualified in 2022, 4 years ago. Practices with Mayo Clinic Health System-Southeast Minnesota Region, a 561-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone: (651) 267-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9582 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 2370725 (MN)

Record details

NPI number1861015893
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2020
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address701 Hewitt Blvd, Red Wing, MN 55066-2848

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mayo Clinic Health System-Southeast Minnesota Region — 561 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Red Wing