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 registered under 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

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Premier OBGYN of Minnesota PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 89 clinicians in the practice; 12 are shown here.

Other providers in Edina