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CADEN JOHNSON PA
NPI 1104506567
Physician Assistant in Eagle, ID

Active since July 20, 2023PECOS Enrolled
2025 E RIVERSIDE DR STE 160, EAGLE, ID 83616(208) 900-9500 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Jul 20, 2023 (2 updates tracked since 2023).

About Caden Johnson Pa NPPES

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

CADEN JOHNSON PA (NPI 1104506567) is an individual physician assistant in Eagle, Idaho and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104506567
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCADEN JOHNSONCredential: PA
Location Address2025 E RIVERSIDE DR STE 160Eagle, ID 83616-7604
Mailing Address2025 E Riverside Dr Ste 160Eagle, ID 83616-7604 · (208) 900-9500
Phone(208) 900-9500
Sole ProprietorNo
Enumeration DateJuly 20, 2023
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1104506567 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.
2025 E RIVERSIDE DR STE 160, Eagle, ID 83616
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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 (PECOS)

Caden Johnson Pa 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 83616 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 2

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

DR. JAMIE L FAUGHT MD
Family Medicine
2025 E RIVERSIDE DR STE 160
EAGLE, ID 83616
Ada County (208) 900-9500
REBEKAH DIANNE CUTLER PA
Physician Assistant
2025 E RIVERSIDE DR STE 160
EAGLE, ID 83616
Ada County (208) 900-9500

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 Caden Johnson's NPI number?

The NPI number for Caden Johnson is 1104506567. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Caden Johnson located?

Caden Johnson practices at 2025 E Riverside Dr Ste 160, Eagle, ID 83616. The listed phone number is (208) 900-9500.

What is Caden Johnson's specialty?

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

Is Caden Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Caden Johnson was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.