Sydney McKenna Johnston, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2448 Issued in NE

Practice address

600 N Cotner Blvd Ste 208
Lincoln, NE 68505-2343

Phone

(402) 464-5969

Fax

(402) 464-3657

NPI assigned

Mar 3, 2020

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 names 1

• Sydney McKenna Peak Former name

Medicare fee-for-service enrollment

Enrolled in NE

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Asthma and Immunology Associates PCGroup PAC ID 4385610013, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryan Medical Center Hospital, Lincoln, NE, CCN 280003

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Allergy, Asthma & Immunology Associates, P.C.

  • Allergy & Immunology Physician
  • Lincoln, NE
  • NPI 1831151232
  Medicare reassignment Care Compare group NPD (past)
• Rheumatology & Osteoporosis Services, P.C.

  • Rheumatology Physician
  • Lincoln, NE
  • NPI 1174737597
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bryan Medical Center

  • General Acute Care Hospital
  • Lincoln, NE
  • NPI 1528006103
  Care Compare affiliation
• Bryan Medical Center

  • Clinical Medical Laboratory
  • Lincoln, NE
  • NPI 1689203077

  Hospital

  Care Compare affiliation
• Bryan Medical Center

  • Diagnostic Radiology Physician
  • Lincoln, NE
  • NPI 1699384370

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1619502341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD STE 208",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052343",
            "telephone_number": "402-464-5969",
            "fax_number": "402-464-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COTNER BLVD STE 208",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052343",
            "telephone_number": "402-464-5969",
            "fax_number": "402-464-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SYDNEY",
        "middle_name": "MCKENNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNEY",
            "last_name": "PEAK",
            "middle_name": "MCKENNA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Xavier Johnson
• Catherine M Johnston, CRNA
• Jarrett K Johnston, APRN
• Mary Joan Johnston
• Ryan Johnston
• Todd Johnston
• Todd Johnston, ATC
• Gail Johs
• Ajak Joseph Jok
• Angwai Joseph Jok

• Physician Assistant in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.