Individual provider Active NPI

Lorena Johnson, PA

  • Physician Assistant
  • Lone Tree, CO
National Provider Identifier
1154361202
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0002777 Issued in CO
Practice address
8500 Park Meadows Dr Ste 200
Lone Tree, CO 80124-2744
Phone
(303) 367-2225
Fax
(303) 343-8702
NPI assigned
Jun 7, 2006
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10003543A IN
Physician Assistant 363A00000X PA.0002777 CO Primary

Addresses

Primary practice location

8500 Park Meadows Dr Ste 200
Lone Tree, CO 80124-2744

Mailing address

8500 Park Meadows Dr Ste 200
Lone Tree, CO 80124-2744
Phone (303) 367-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090903000109 CO Practitioner - Physician Assistant 4789635558 Reassigns benefits to 1 organization
I20220425001598 IN Practitioner - Physician Assistant 4789635558 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spineone, PLLCGroup PAC ID 6406877521, 10 clinicians

Practice addresses (Care Compare)

8500 Park Meadows Dr
Suite 200
Lone Tree, CO 80124-2744
Phone (303) 367-2225

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital CurrentSince Mar 6, 2023 Accepting new patients
Hendricks County Hospital CurrentSince Mar 6, 2023 Accepting new patients

Locations

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1154361202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DR STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242744",
            "telephone_number": "303-367-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 PARK MEADOWS DR STE 200",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801242744",
            "telephone_number": "303-367-2225",
            "fax_number": "303-343-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LORENA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003543A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.