Individual provider Active NPI

Keith Allan Johnson, PA-C

  • Physician Assistant
  • Lewisburg, PA
National Provider Identifier
1902829583
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003170L Issued in PA
Practice address
7055 Westbranch Hwy
Lewisburg, PA 17837-6808
Phone
(570) 524-4141
Fax
(570) 524-5218
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA003170L PA Primary
Medical Physician Assistant 363AM0700X MA003170L PA

Addresses

Primary practice location

7055 Westbranch Hwy
Lewisburg, PA 17837-6808

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

112 Ironstone Dr
Northumberland, PA 17857-8543
Phone (570) 473-0545

Other practice location 2

101 Meadow Green Dr
Mifflinburg, PA 17844-9300
Phone (570) 966-1122

Other practice location 3

7095 Westbranch Hwy Ste 1000
Lewisburg, PA 17837-6864
Phone (570) 523-3006

Other practice location 4

412 W Market St
Middleburg, PA 17842-1076
Phone (570) 837-6163

Other practice location 5

7095 Westbranch Hwy Ste 1100
Lewisburg, PA 17837-6864
Phone (570) 524-5050

Other practice location 6

935 Route 522
Selinsgrove, PA 17870-9714
Phone (570) 372-6102

Other practice location 7

964 Carpenter Rd
Milton, PA 17847-7527
Phone (570) 742-2300

Other practice location 8

98 Reitz Blvd
Lewisburg, PA 17837-9270
Phone (570) 524-4443

Other practice location 9

3 Hospital Dr Ste 214
Lewisburg, PA 17837-9394
Phone (570) 542-4242

Other identifiers 2

IdentifierTypeStateIssuer
50012614OtherPACAPITAL BLUE CROSS
P00214218OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050531000605 PA Practitioner - Physician Assistant 2769424787 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger-HM Joint Venture LLCGroup PAC ID 1355676370, 426 clinicians
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Evangelical Medical Services OrganizationGroup PAC ID 9133033087, 255 clinicians

Practice addresses (Care Compare)

10 Choate Cir
Montoursville, PA 17754-9791
Phone (570) 368-5566

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

10990 State Route 61
Mount Carmel, PA 17851-2575
Phone (570) 554-9260

10990 State Route 61 736344
Mount Carmel, PA 17851-2575
Phone (570) 339-4513

1630 N Atherton St
State College, PA 16803-1416
Phone (814) 238-1279

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

226 Buckaroo Lane
Bellefonte, PA 16823-9120
Phone (814) 353-3519

240 Mall Blvd
Bloomsburg, PA 17815-8389
Phone (570) 416-5435

25 Monument Rd
York, PA 17403-5073

3 Hospital Dr
Lewisburg, PA 17837-9394

412 W Market St
Wellspan Family Medicine
Middleburg, PA 17842-1076
Phone (570) 837-6163

68 Spring St
Lock Haven, PA 17745-1911
Phone (800) 230-4565

7055 Westbranch Hwy
Wellspan Internal Medicine
Lewisburg, PA 17837-6808
Phone (570) 524-4141

Hospital & facility affiliations

  • Residential Home Health of NC PA, LLC Home health agency, Lewisburg, PA, CCN 398144
  • Vna Health System Home health agency, Shamokin, PA, CCN 397053
  • Geisinger Home Health Home health agency, Danville, PA, CCN 397718
  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical Medical Services Organization CurrentSince Nov 1, 2003 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Geisinger Clinic CurrentSince Dec 30, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Dec 30, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Dec 30, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Dec 30, 2024 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Apr 1, 2024 Accepting new patients
Wellspan Medical Group Physician Assistant Past Accepting new patients
Geisinger Clinic Past Accepting new patients
Evangelical Medical Services Organization Past Accepting new patients

Locations (25 of 26)

65 Briar Creek Plz
Berwick, PA 18603
Phone (570) 802-5590

240 Mall Blvd
Bloomsburg, PA 17815
Phone (570) 416-5435

175 Northumberland St
Danville, PA 17821
Phone (570) 284-4575

100 N Academy Ave
Danville, PA 17822

3 Hospital Dr
Ste 102
Lewisburg, PA 17837
Phone (570) 524-7400

98 Reitz Blvd
Lewisburg, PA 17837
Phone (570) 524-4443

3 Hospital Dr
Ste 214
Lewisburg, PA 17837
Phone (570) 524-4242

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

7095 Westbranch Hwy
Ste 1100
Lewisburg, PA 17837
Phone (570) 524-5050

1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

7055 Westbranch Hwy
Lewisburg, PA 17837
Phone (570) 524-4141

7095 Westbranch Hwy
Ste 1000
Lewisburg, PA 17837
Phone (570) 523-3006

412 W Market St
Middleburg, PA 17842
Phone (570) 837-6163

101 Meadow Green Dr
Mifflinburg, PA 17844
Phone (570) 966-1122

964 Carpenter Rd
Milton, PA 17847
Phone (570) 742-2300

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

10990 State Route 61
Mount Carmel, PA 17851
Phone (570) 339-4513

112 Ironstone Dr
Northumberland, PA 17857
Phone (570) 473-0545

935 Route 522
Selinsgrove, PA 17870
Phone (570) 372-6102

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: kjohnson485977@wellspan.direct-ci.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1902829583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 WESTBRANCH HWY",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376808",
            "telephone_number": "570-524-4141",
            "fax_number": "570-524-5218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Ironstone Dr",
            "address_purpose": "LOCATION",
            "city": "Northumberland",
            "state": "PA",
            "postal_code": "178578543",
            "country_code": "US",
            "telephone_number": "570-473-0545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Meadow Green Dr",
            "address_purpose": "LOCATION",
            "city": "Mifflinburg",
            "state": "PA",
            "postal_code": "178449300",
            "country_code": "US",
            "telephone_number": "570-966-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376864",
            "country_code": "US",
            "telephone_number": "570-523-3006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 W Market St",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "PA",
            "postal_code": "178421076",
            "country_code": "US",
            "telephone_number": "570-837-6163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376864",
            "country_code": "US",
            "telephone_number": "570-524-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Route 522",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178709714",
            "country_code": "US",
            "telephone_number": "570-372-6102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "964 Carpenter Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "PA",
            "postal_code": "178477527",
            "country_code": "US",
            "telephone_number": "570-742-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Reitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379270",
            "country_code": "US",
            "telephone_number": "570-524-4443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Hospital Dr Ste 214",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379394",
            "country_code": "US",
            "telephone_number": "570-542-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KEITH",
        "middle_name": "ALLAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003170L",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003170L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50012614",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00214218",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.