HAILEY JOHNSON - NPI 1073212890 - Physician Assistant in Fort Collins, CO

Q: What is Hailey Johnson's NPI number?

The NPI number for Hailey Johnson is 1073212890. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Q: What is Hailey Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hailey Johnson was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Hailey Johnson NPPES

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

HAILEY JOHNSON (NPI 1073212890) is an individual physician assistant in Fort Collins, Colorado and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1073212890

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHAILEY JOHNSON

Location Address702A W DRAKE RDFort Collins, CO 80526-5521

Mailing Address702a W Drake RdFort Collins, CO 80526-5521 · (720) 563-1724

Phone(720) 563-1724

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 1, 2023

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1073212890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

702A W DRAKE RD, Fort Collins, CO 80526

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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

Hailey Johnson 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 ID2769983436

PECOS Enrollment IDI20250903001163

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 80526 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 8

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

KIRK A KINDSFATER MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)