Individual provider Active NPI

Kristina Johnson, PA-C

  • Physician Assistant
  • Brighton, CO
National Provider Identifier
1093210635
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005777 Issued in CO
Practice address
2801 Purcell St
Brighton, CO 80601-3551
Phone
(303) 659-9700
Fax
(303) 558-8222
NPI assigned
Mar 27, 2018
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0005777 CO Primary

Addresses

Primary practice location

2801 Purcell St
Brighton, CO 80601-3551

Mailing address

1901 Duke Dr
Richardson, TX 75081-3133
Phone (720) 999-1089

Other practice location 1

901 W 15th St
Plano, TX 75075-5134
Phone (469) 443-0275

Other practice location 2

810 E Ralph Hall Pkwy
Rockwall, TX 75032-6878
Phone (469) 402-3400

Other practice location 3

221 E 29th St Ste 102
Loveland, CO 80538-2746
Phone (970) 624-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200702001171 CO Practitioner - Physician Assistant 2668735234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Urgent Care PLLCGroup PAC ID 6002834645, 26 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1011 39TH Ave
Suite a
Greeley, CO 80634-2504
Phone (970) 351-8181

17121 S Golden
C150
Golden, CO 80401-7301
Phone (720) 506-1332

18890 E Hampden Ave
Aurora, CO 80013-3504
Phone (303) 617-1604

2144 Main St
Suite 8
Longmont, CO 80501-8402
Phone (303) 772-0041

221 E 29TH St
Suite 102
Loveland, CO 80538-2746
Phone (970) 224-3636

4590 W 121St Ave
Broomfield, CO 80020-5666
Phone (303) 439-4544

7380 W 52ND Ave
Unit I
Arvada, CO 80002-3719
Phone (303) 463-5941

9720 Grant St
Thornton, CO 80229-2154
Phone (303) 756-3499

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0005777COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Platte River Medical Clinic LLC Current Accepting new patients
Colorado Urgent Care PLLC CurrentSince Dec 1, 2023 Accepting new patients
Colorado Urgent Care PLLC PastSince Sep 8, 2024 Accepting new patients
Plano Urgent Care LLC PastSince Jul 1, 2014 Accepting new patients

Locations

7380 W 52nd Ave
Unit I
Arvada, CO 80002
Phone (303) 463-5941

18890 E Hampden Ave
Aurora, CO 80013
Phone (303) 617-1604

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

4590 W 121st Ave
Broomfield, CO 80020
Phone (303) 439-4544

1011 39th Ave
Ste A
Greeley, CO 80634
Phone (970) 351-8181

2144 Main St
Ste 8
Longmont, CO 80501
Phone (303) 772-0041

9720 Grant St
Thornton, CO 80229
Phone (303) 756-3499

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kristina.johnson.1@4045.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1093210635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DUKE DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813133",
            "telephone_number": "720-999-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PURCELL ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013551",
            "telephone_number": "303-659-9700",
            "fax_number": "303-558-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750755134",
            "country_code": "US",
            "telephone_number": "469-443-0275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 E Ralph Hall Pkwy",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326878",
            "country_code": "US",
            "telephone_number": "469-402-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 E 29th St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "CO",
            "postal_code": "805382746",
            "country_code": "US",
            "telephone_number": "970-624-5150",
            "fax_number": "970-669-7521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.