MS. COLETTE JOHNSON PA
NPI 1154179190
Physician Assistant in Norwich, NY

Active since May 06, 2024PECOS EnrolledAccepts Medicare Assignment
179 N BROAD ST, NORWICH, NY 13815(607) 337-4111 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2024, Jun 13, 2024, May 6, 2024 (3 updates tracked since 2024).

About Ms. Colette Johnson Pa NPPES

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

MS. COLETTE JOHNSON PA (NPI 1154179190) is an individual physician assistant in Norwich, New York, licensed in Tennessee (5955) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Chenango Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1154179190
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. COLETTE JOHNSONCredential: PA
Location Address179 N BROAD STNorwich, NY 13815-1019
Mailing Address179 N Broad StNorwich, NY 13815-1019
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 6, 2024
Last NPPES UpdateSeptember 26, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
NPI 1154179190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TN · 5955 Licensed in NY · 034526
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.
179 N BROAD ST, Norwich, NY 13815

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

Ms. Colette Johnson Pa 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 ID4789125808
PECOS Enrollment IDI20251104004337
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.

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.
68 services53 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
39 services30 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
27 services26 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
26 services25 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services23 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13815 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Durable Medical Equipment & Medical Supplies
179 N BROAD ST
NORWICH, NY 13815
Nurse Practitioner (Family)
179 N BROAD ST
NORWICH, NY 13815
Skilled Nursing Facility
179 N BROAD ST
NORWICH, NY 13815
Obstetrics & Gynecology
179 N BROAD ST
NORWICH, NY 13815
Dietitian, Registered
179 N BROAD ST
NORWICH, NY 13815
Anesthesiology
179 N BROAD ST, CHENANGO MEMORIAL HOSPITAL
NORWICH, NY 13815
Physician Assistant
179 N BROAD ST
NORWICH, NY 13815
Family Medicine
179 N BROAD ST
NORWICH, NY 13815

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 Colette Johnson's NPI number?

The NPI number for Colette Johnson is 1154179190. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Colette Johnson located?

Colette Johnson practices at 179 N Broad St, Norwich, NY 13815. The listed phone number is (607) 337-4111.

What is Colette Johnson's specialty?

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

Is Colette Johnson enrolled in Medicare?

Yes. Colette 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.

Is Colette Johnson affiliated with any hospitals?

According to CMS data, Colette Johnson is affiliated with Chenango Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Colette Johnson was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.