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CARMEN JOHNSTON PA
NPI 1437415064
Physician Assistant in Warsaw, IN

Active since April 09, 2012PECOS EnrolledAccepts Medicare Assignment
1500 PROVIDENT DR STE A, WARSAW, IN 46580(574) 372-7637 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carmen Johnston Pa NPPES

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

CARMEN JOHNSTON PA (NPI 1437415064) is an individual physician assistant in Warsaw, Indiana, licensed in Indiana (10001237A) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Peru, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1437415064
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARMEN JOHNSTONCredential: PA
Location Address1500 PROVIDENT DR STE AWarsaw, IN 46580-3297
Mailing Address315 W Old Key DrPeru, IN 46970-9057 · (765) 475-6963
Phone(574) 372-7637
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 9, 2012
Last NPPES UpdateSeptember 14, 2020
NPPES CertifiedSeptember 14, 2020
✔ NPI 1437415064 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 IN · 10001237A
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.
1500 PROVIDENT DR STE A, Warsaw, IN 46580
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Secondary Practice Location 1

Location 1315 W Old Key DrPeru, IN 46970-9057 · Phone (765) 475-6963

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

Carmen Johnston 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 ID7810158763
PECOS Enrollment IDI20120419000671
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 46580 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

ANITA LYNN ALCORN FNP
Nurse Practitioner (Family)
1500 PROVIDENT DR STE A
WARSAW, IN 46580
Kosciusko County (574) 372-7637
LORI A YOUNG NP
Nurse Practitioner (Family)
1500 PROVIDENT DR STE A
WARSAW, IN 46580
Kosciusko County (574) 372-7637
MEDSTAT LLC
Clinic/Center (Primary Care)
1500 PROVIDENT DR STE A
WARSAW, IN 46580
Kosciusko County (574) 372-7637
SCOTT HARLAN EHMEN MD
Family Medicine
1500 PROVIDENT DR STE A
WARSAW, IN 46580
Kosciusko County (574) 372-7637
JESSE R KOOISTRA FNP
Nurse Practitioner (Family)
1500 PROVIDENT DR STE A
WARSAW, IN 46580
Kosciusko County (574) 372-7637
AMIE L ROBERTS FNP-C
Nurse Practitioner (Family)
1500 PROVIDENT DR STE A
WARSAW, IN 46580
Kosciusko County (574) 372-7637

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 Carmen Johnston's NPI number?

The NPI number for Carmen Johnston is 1437415064. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Where is Carmen Johnston located?

Carmen Johnston practices at 1500 Provident Dr Ste A, Warsaw, IN 46580. The listed phone number is (574) 372-7637.

What is Carmen Johnston's specialty?

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

Is Carmen Johnston enrolled in Medicare?

Yes. Carmen Johnston 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 Carmen Johnston was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.