Individual provider Active NPI

Emma Johnson, PA-C

  • Physician Assistant
  • Winterset, IA
National Provider Identifier
1447744362
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
092432 Issued in IA
Practice address
300 W Hutchings St
Winterset, IA 50273-2109
Phone
(515) 462-2950
NPI assigned
Jun 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 092432 IA Primary

Addresses

Primary practice location

300 W Hutchings St
Winterset, IA 50273-2109

Mailing address

2852 300TH St
Orient, IA 50858-8063
Phone (641) 344-5713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20180801003190 IA Practitioner - Physician Assistant 9335497783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison County Memorial Hospital 42 clinicians

Practice addresses (Care Compare)

300 W Hutchings St
Winterset, IA 50273-2109

Hospital & facility affiliations

  • Madison County Health Care System Hospital, Winterset, IA, CCN 161326

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Madison County Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Madison County Memorial Hospital Past Accepting new patients

Locations

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/madico-8e3b1615
  • FHIR API: https://fhir-myrecord.cerner.com/r4/823d67d6-97c5-40a2-b084-56d06cb82099/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1447744362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 300TH ST",
            "city": "ORIENT",
            "state": "IA",
            "postal_code": "508588063",
            "telephone_number": "641-344-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HUTCHINGS ST",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502732109",
            "telephone_number": "515-462-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EMMA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "092432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterset, IA

Sources for this page

Verify at the official NPI Registry.