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

Stephanie Jo Johanneck, APRN, AGNP, CNP

Individual provider Nurse Practitioner · NPI 1891355913

Stephanie Jo Johanneck, APRN, AGNP, CNP is a Nurse Practitioner in Willmar, Minnesota. Qualified in 2019, 7 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

101 Willmar Ave SW
Willmar, MN 56201-3556
Phone: (320) 231-5000
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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 6641 (MN)

Record details

NPI number1891355913
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGNP , CNP
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

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 Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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