NPIMap

Individual provider Active NPI

Corrinne E. Johnson, PA-C

  • Physician Assistant
  • Pagosa Springs, CO
National Provider Identifier
1609101393
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0002873 Issued in CO
Practice address
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone
(970) 731-3700
Fax
(970) 731-0511
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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 PA.0002873 CO Primary

Addresses

Primary practice location

95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329

Mailing address

95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 731-3700

Other practice location 1

802 Rio Grande
Creede, CO 81130-5144
Phone (719) 658-0929

Other practice location 2

1033 2nd Ave
Monte Vista, CO 81144-1737
Phone (719) 852-8827

Other identifiers 1

IdentifierTypeStateIssuer
61032085MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address corrinnejohnson@psmedicalcenter.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111115000036 CO Practitioner - Physician Assistant 7416096508 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Citizens' Foundation for Health Care Inc 25 clinicians

Practice addresses (Care Compare)

1033 2ND Ave
Monte Vista, CO 81144-1737
Phone (719) 852-8827

Hospital & facility affiliations

  • Rio Grande Hospital Hospital, Del Norte, CO, CCN 061301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Family Health Centers CurrentSince Jan 29, 2015 Accepting new patients
Upper San Juan Health Service District CurrentSince Jan 19, 2026 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Mar 1, 2023 Accepting new patients
Upper San Juan Health Service District CurrentSince Jan 19, 2026 Accepting new patients
Valley Citizens' Foundation for Health Care Inc Past Accepting new patients
Sunbury Primary Care, P.a. Family Medicine Past Accepting new patients
Sunbury Primary Care, P.a. Family Medicine Past Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1905 Blake Ave
Ste 101
Glenwood Springs, CO 81601

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

95 S Pagosa Blvd
Pagosa Springs, CO 81147
Phone (970) 731-3700

195 W 14th St
Ste C
Rifle, CO 81650

Interoperability endpoints

  • Direct secure messaging: corrinnejohnson@psmedicalcenter.cernerdirect.com

Organizations & group practices 10

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 3

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": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1609101393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S PAGOSA BLVD",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478329",
            "telephone_number": "970-731-3700",
            "fax_number": "970-731-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S PAGOSA BLVD",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478329",
            "telephone_number": "970-731-3700",
            "fax_number": "970-731-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Rio Grande",
            "address_purpose": "LOCATION",
            "city": "Creede",
            "state": "CO",
            "postal_code": "811305144",
            "country_code": "US",
            "telephone_number": "719-658-0929",
            "fax_number": "197-658-2830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Monte Vista",
            "state": "CO",
            "postal_code": "811441737",
            "country_code": "US",
            "telephone_number": "719-852-8827",
            "fax_number": "719-852-2739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CORRINNE",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0002873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61032085",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "corrinnejohnson@psmedicalcenter.cernerdirect.com",
            "affiliation": "N",
            "address_1": "95 S Pagosa Blvd",
            "city": "Pagosa Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "811478329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pagosa Springs, CO

Sources for this page

Verify at the official NPI Registry.