Stacy Nicole Johnson, PA-S

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2719 Issued in CO

Practice address

11651 W 64TH Ave
D-5
Arvada, CO 80004-4323

Phone

(303) 425-5536

Fax

(303) 425-0769

NPI assigned

Jan 23, 2009

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Female

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthone Carenow Urgent Care LLCGroup PAC ID 3375837339, 55 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.74 of 100Reported as group

Quality

72.92

Promoting interoperability

100

Improvement activities

40

Cost

72.87

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1922/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/4045/brand/3/csg/61/fhir/r4

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.

• Healthone Carenow Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Greenwood Village, CO
  • NPI 1083077051
  Medicare reassignment Care Compare group
• Advanced Urgent Care LLC

  dba Advanced Urgent Care and Occupational Medicine

  • Urgent Care Clinic/Center
  • Brighton, CO
  • NPI 1841579703
  Medicare reassignment
• Denver Urgent Care Professional LLC

  dba ZipClinic Urgent Care

  • Urgent Care Clinic/Center
  • Aurora, CO
  • NPI 1639512411
  NPD
• Platte River Medical Clinic LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1477667244
  NPD
• Simms Crossing Family Practice Inc

  • Family Medicine Physician
  • Golden, CO
  • NPI 1003854480
  NPD (past)

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1497993703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11651 W 64TH AVE",
            "address_2": "D-5",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044323",
            "telephone_number": "303-425-5536",
            "fax_number": "303-425-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11651 W 64TH AVE",
            "address_2": "D-5",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800044323",
            "telephone_number": "303-425-5536",
            "fax_number": "303-425-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACY",
        "middle_name": "NICOLE",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2719",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Johnson
• Jenny Elizabeth Johnson, P.T.
• Jessica Johnson, LMT
• Joey Christine Johnson, RN BSN
• Michael Johnson, RPH
• Stephanie Johnson
• Jon G. Shick, D.O., LLC
• James Francis Jonell, PH.D.
• Amy Elizabeth Jones, LPC
• Jeffrey Drake Jones, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.