MR. PATRICK ALAN JOHNSON RD, PA-C
NPI 1225380629
Physician Assistant in Gaylord, MI

Q: What is Patrick Johnson's NPI number?

The NPI number for Patrick Johnson is 1225380629. It was assigned to this individual provider in the NPPES registry on October 9, 2012.

Q: What is Patrick 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 Patrick Johnson was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 09, 2012PECOS EnrolledAccepts Medicare Assignment

825 N CENTER AVE, GAYLORD, MI 49735(989) 731-2100 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 19, 2025, Oct 2, 2024 (2 updates tracked since 2024).

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About Mr. Patrick Alan Johnson Rd, Pa-c NPPES

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

MR. PATRICK ALAN JOHNSON RD, PA-C (NPI 1225380629) is an individual physician assistant in Gaylord, Michigan, licensed in Michigan (5601012837) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and is a graduate of University Of Washington School Of Medicine (2024).

NPPES Registry Identity

NPI1225380629

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. PATRICK ALAN JOHNSONCredential: RD, PA-C

Location Address825 N CENTER AVEGaylord, MI 49735-1592

Mailing Address825 N Center AveGaylord, MI 49735-1592

Phone(989) 731-2100

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2024

Enumeration DateOctober 9, 2012

Last NPPES UpdateMay 19, 20252 updates tracked since enumeration

NPPES CertifiedMay 19, 2025

✔ NPI 1225380629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601012837

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.

Also ListedDietitian, Registered · Nutrition, MetabolicTaxonomy 133VN1006X · License DI60312524 (WA)

825 N CENTER AVE, Gaylord, MI 49735

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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

Mr. Patrick Alan Johnson Rd, Pa-c 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 ID9638688898

PECOS Enrollment IDI20250530002358

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.

Hospital Affiliations CMS Care Compare 4

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230058

Location1100 E Michigan AveGrayling, MI 49738 · Crawford County

Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230133

Location825 N Center AveGaylord, MI 49735 · Otsego County

Birthing friendly

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI

OwnershipGovernment - Hospital District or Authority

CMS Certification Number231301

Location419 S CoralKalkaska, MI 49646 · Kalkaska County

Emergency services

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number231322

Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49735 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

AARON JOSEPH NOLAN FNP

Nurse Practitioner (Family)