Individual provider Active NPI

Margaret Ellen Ayers-Johnson, PA

  • Physician Assistant
  • Burnsville, MN
National Provider Identifier
1326458530
Registry record updated Dec 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA174348 Issued in OR
Practice address
755 Cliff Rd E
Burnsville, MN 55337-1545
Phone
(952) 697-1848
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2024

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 PA174348 OR Primary

Addresses

Primary practice location

755 Cliff Rd E
Burnsville, MN 55337-1545

Mailing address

755 Cliff Rd E
Burnsville, MN 55337-1545
Phone (952) 697-1848

Other practice location 1

8060 SW Pfaffle St Ste 102
Portland, OR 97223-8489
Phone (503) 714-8987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, MN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160210002294 OR Practitioner - Physician Assistant 6204130313 Reassigns benefits to 2 organizations
I20220307000630 WA Practitioner - Physician Assistant 6204130313 Reassigns benefits to 1 organization
I20231222001482 MN Practitioner - Physician Assistant 6204130313

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WVP Medical Group, LLC CurrentSince Jan 4, 2016 Accepting new patients
Dispatchhealth-Arizona CurrentSince Nov 1, 2022 Accepting new patients
Simplifed, Inc. Past Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients

Locations

755 Cliff Rd E
Burnsville, MN 55337
Phone (303) 505-1518

2995 Ryan Dr SE
Ste 200
Salem, OR 97301
Phone (503) 371-7701

2485 12th St SE
Salem, OR 97302
Phone (503) 363-8047

Interoperability endpoints

  • Direct secure messaging: margaret.ayers-johnson.1@13869.direct.athenahealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733011200000",
    "number": "1326458530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 CLIFF RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371545",
            "telephone_number": "952-697-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 CLIFF RD E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371545",
            "telephone_number": "952-697-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8060 SW Pfaffle St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972238489",
            "country_code": "US",
            "telephone_number": "503-714-8987",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYERS-JOHNSON",
        "first_name": "MARGARET",
        "middle_name": "ELLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2024-12-01",
        "certification_date": "2024-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA174348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.