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

Randy W Johnson, NP

Individual provider Acute Care Nurse Practitioner · NPI 1659932580

Randy W Johnson, NP is a Nurse Practitioner in Fargo, North Dakota. Qualified in 2019, 7 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
7
Licensed in
ND
In the registry since
2019
Specialties on file
2
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

736 Broadway N
Fargo, ND 58102-4421
Phone: (701) 200-0718
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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 R32408 (ND)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence R32408 (ND)

Record details

NPI number1659932580
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 21, 2019
Last updated in NPPESNovember 17, 2022
Certification dateNovember 17, 2022
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fargo