Jeremy Duane Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005940 Issued in CO

Practice address

9320 Grand Cordera Pkwy Ste 100
Colorado Springs, CO 80924-7004

Phone

(719) 282-6337

NPI assigned

Aug 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Alliance Urgent Care

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1982819025

  Physician Assistant

  NPD
• Button Family Practice PC

  • Rural Health Clinic/Center
  • Canon City, CO
  • NPI 1144269739
  NPD
• Alliance Family Practice

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1326253436

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1376191569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 GRAND CORDERA PKWY STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247004",
            "telephone_number": "719-282-6337",
            "fax_number": "719-282-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 GRAND CORDERA PKWY STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247004",
            "telephone_number": "719-282-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEREMY",
        "middle_name": "DUANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-30",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000177362",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Johnson
• Jamie Denise Johnson
• Jeanne Ann Johnson, LPN
• Jeanne May Johnson, PT
• Jenny Lynn Johnson, MA, LPC, LAC
• Jessica Johnson
• Jessica Johnson
• Judy L Johnson, RDH
• Julia Crystal Johnson, DC
• Julianne Johnson, BCABA

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.