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STACY NICOLE JOHNSON PA-S
NPI 1497993703
Physician Assistant in Arvada, CO

Active since January 23, 2009PECOS EnrolledAccepts Medicare Assignment
54.53/100
CMS Quality Rating
11651 W 64TH AVE, D-5, ARVADA, CO 80004(303) 425-5536(303) 425-0769 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Nicole Johnson Pa-s NPPES

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

STACY NICOLE JOHNSON PA-S (NPI 1497993703) is an individual physician assistant in Arvada, Colorado, licensed in Colorado (2719) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1497993703
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACY NICOLE JOHNSONCredential: PA-S
Location Address11651 W 64TH AVE, D-5Arvada, CO 80004-4323
Mailing Address11651 W 64th Ave, D-5Arvada, CO 80004-4323 · (303) 425-5536 · Fax (303) 425-0769
Phone(303) 425-5536
Fax(303) 425-0769
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 23, 2009
Last NPPES UpdateNovember 28, 2011
✔ NPI 1497993703 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 CO · 2719
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.
11651 W 64TH AVE, Arvada, CO 80004
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Other Identifiers 1

Other2719CO · License

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

Stacy Nicole Johnson Pa-s 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 ID4183772791
PECOS Enrollment IDI20090507000583
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
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.
29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80004 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

54.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality42.05
Improvement Activities40
Cost52.2

Other Providers at the Same Location NPPES

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

MR. PAUL DENNIS OBRIAN P.T.
Physical Therapist
11651 W 64TH AVE, UNIT A 5
ARVADA, CO 80004
Jefferson County (303) 421-2210

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 Stacy Johnson's NPI number?

The NPI number for Stacy Johnson is 1497993703. It was assigned to this individual provider in the NPPES registry on January 23, 2009.

Where is Stacy Johnson located?

Stacy Johnson practices at 11651 W 64th Ave D-5, Arvada, CO 80004. The listed phone number is (303) 425-5536.

What is Stacy Johnson's specialty?

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

Is Stacy Johnson enrolled in Medicare?

Yes. Stacy 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 Stacy Johnson was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.