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

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