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

Sandra J Johnson, APNP

Individual provider Registered Nurse · NPI 1316415516

Sandra J Johnson, APNP is a Nurse Practitioner in Hayward, Wisconsin. Qualified in 2022, 4 years ago. Practices with Lac Courte Oreilles Governing Board, a 19-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

13380 W Trepania Rd
Hayward, WI 54843-2186
Phone: (715) 638-5100
Fax: (715) 634-2740
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 13466 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 234311-30 (WI)

Record details

NPI number1316415516
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedNovember 6, 2018
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024
Mailing address13380 W Trepania Rd, Hayward, WI 54843-2186

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 Lac Courte Oreilles Governing Board — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hayward