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TAMARA A JOHNSON PA-C
NPI 1023206935
Physician Assistant in St Louis Park, MN

Active since October 05, 2007PECOS Enrolled
6490 EXCELSIOR BLVD, STE W200, ST LOUIS PARK, MN 55426(952) 993-3180 Get Directions Write a Review

NPPES record last updated: October 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tamara A Johnson Pa-c NPPES

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

TAMARA A JOHNSON PA-C (NPI 1023206935) is an individual physician assistant in St Louis Park, Minnesota, licensed in Minnesota (1045) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023206935
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAMARA A JOHNSONCredential: PA-C
Location Address6490 EXCELSIOR BLVD, STE W200St Louis Park, MN 55426-4705
Mailing Address6465 Wayzata Blvd, Ste 210St Louis Park, MN 55426-1728
Phone(952) 993-3180
Sole ProprietorNo
Enumeration DateOctober 5, 2007
✔ NPI 1023206935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 1045
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6490 EXCELSIOR BLVD, St Louis Park, MN 55426
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Other Names 1

Other Name (5)Tamara A Skalsh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamara A Johnson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

KEITH HARMON MD
Internal Medicine (Pulmonary Disease)
6490 EXCELSIOR BLVD, SUITE W300
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3242
MS. MAGGIE J KOCH O.A.
Physician Assistant
6490 EXCELSIOR BLVD, STE E400
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3123
CARRIE MICHURSKI
Specialist/Technologist, Other (Surgical Technologist)
6490 EXCELSIOR BLVD, SUITE E400
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-3230
JOHN M WORLEY D.O.
Psychiatry & Neurology (Neurology)
6490 EXCELSIOR BLVD, STE E500
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7342
KRISTEN CECILE KADING PHARM.D.
Pharmacist
6490 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-5764
MARY VANDERLOOP
Psychologist
6490 EXCELSIOR BLVD, # E315
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6200
AMY E GOLD OT
Occupational Therapist
6490 EXCELSIOR BLVD, SUITE E400 REHAB SERVICES
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-2007
SHARON M JOHNSON R.D.
Dietitian, Registered
6490 EXCELSIOR BLVD, STE W505
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Johnson's NPI number?

The NPI number for Tamara Johnson is 1023206935. It was assigned to this individual provider in the NPPES registry on October 5, 2007. The provider is also known as Tamara A Skalsh.

Where is Tamara Johnson located?

Tamara Johnson practices at 6490 Excelsior Blvd Ste W200, St Louis Park, MN 55426. The listed phone number is (952) 993-3180.

What is Tamara Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tamara Johnson enrolled in Medicare?

Yes. Tamara Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tamara Johnson was last updated on October 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.