MR. TYLER K JOHNSON PA-C
NPI 1003362914
Physician Assistant - Medical in Excelsior, MN

Q: What is Tyler Johnson's NPI number?

The NPI number for Tyler Johnson is 1003362914. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Q: What is Tyler Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Johnson was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2016PECOS EnrolledAccepts Medicare Assignment

675 WATER ST, EXCELSIOR, MN 55331(952) 906-7855 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2019, Aug 31, 2016 (2 updates tracked since 2016).

On this page

About Mr. Tyler K Johnson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TYLER K JOHNSON PA-C (NPI 1003362914) is an individual medical provider in Excelsior, Minnesota, licensed in Illinois (085005949) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Waconia.

NPPES Registry Identity

NPI1003362914

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. TYLER K JOHNSONCredential: PA-C

Location Address675 WATER STExcelsior, MN 55331-3072

Mailing Address676 N Saint Clair St, Suite 1600Chicago, IL 60611-2927

Phone(952) 906-7855

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2016

Enumeration DateAugust 31, 2016

Last NPPES UpdateMay 7, 20192 updates tracked since enumeration

✔ NPI 1003362914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085005949

675 WATER ST, Excelsior, MN 55331

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Secondary Practice Location 1

Location 1560 S Maple St Ste 400Waconia, MN 55387-1757 · Phone (952) 442-2191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Tyler K Johnson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668734369

PECOS Enrollment IDI20190315001844

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

426 services71 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

227 services180 patients

Destruction of precancer skin growth, 2-14 growths 17003

174 services33 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

151 services112 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

130 services99 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

70 services62 patients

Destruction of precancer skin growth, 1 growth 17000

68 services54 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

54 services53 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

49 services49 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

46 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

35 services32 patients

Biopsy of related skin growth, first growth 11102

23 services23 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

23 services16 patients

Destruction of skin growth, 1-14 growths 17110

17 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240056

Location500 South Maple StreetWaconia, MN 55387 · Carver County

Emergency services Birthing friendly

Glencoe Regional Health

Critical Access Hospitals · Glencoe, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number241355

Location1805 Hennepin Avenue NorthGlencoe, MN 55336 · Mc Leod County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY ANN ASCHENBECK MD

Dermatology