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KEVIN EARL JOHNSON
NPI 1114721420
Physician Assistant in Adel, IA

Active since April 03, 2025PECOS EnrolledAccepts Medicare Assignment
1120 GREENE ST, ADEL, IA 50003(515) 993-4656(515) 993-4532 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Apr 3, 2025 (2 updates tracked since 2025).

About Kevin Earl Johnson NPPES

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

KEVIN EARL JOHNSON (NPI 1114721420) is an individual physician assistant in Adel, Iowa, licensed in Iowa (134561) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114721420
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEVIN EARL JOHNSON
Location Address1120 GREENE STAdel, IA 50003-1712
Mailing AddressPo Box 674721Dallas, TX 75267-4721 · (515) 643-2519 · Fax (515) 993-4532
Phone(515) 993-4656
Fax(515) 993-4532
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 3, 2025
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1114721420 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 IA · 134561
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.
1120 GREENE ST, Adel, IA 50003
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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

Kevin Earl 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 ID9335634500
PECOS Enrollment IDI20251224001974
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 50003 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 6

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

LISA MARIE KIRKPATRICK P A C
Physician Assistant
1120 GREENE ST
ADEL, IA 50003
Dallas County (515) 993-4656
ADEL FAMILY MEDICAL CENTER PC
Family Medicine
1120 GREENE ST
ADEL, IA 50003
Dallas County (515) 993-4656
LONDON MICHELLE MUSE MD
Family Medicine
1120 GREENE ST
ADEL, IA 50003
Dallas County (515) 993-4656
DR. CHARLES FRANCIS KELLER MD
Family Medicine
1120 GREENE ST
ADEL, IA 50003
Dallas County (515) 993-4656
MACE WALKER BOSHART PA-C
Physician Assistant
1120 GREENE ST
ADEL, IA 50003
Dallas County (515) 993-4656
MERCY CLINICS, INC
Family Medicine
1120 GREENE ST
ADEL, IA 50003
Dallas County (515) 993-4656

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 Kevin Johnson's NPI number?

The NPI number for Kevin Johnson is 1114721420. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Kevin Johnson located?

Kevin Johnson practices at 1120 Greene St, Adel, IA 50003. The listed phone number is (515) 993-4656.

What is Kevin Johnson's specialty?

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

Is Kevin Johnson enrolled in Medicare?

Yes. Kevin Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kevin Johnson was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.