KATELYN ADMIRE JOHNSON P.A.C.
NPI 1528684388
Physician Assistant in Galena, KS

Active since June 17, 2020PECOS EnrolledAccepts Medicare Assignment
444 FOUR STATES DR, GALENA, KS 66739(620) 783-4441 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 8, 2026, Jun 17, 2020 (2 updates tracked since 2020).

About Katelyn Admire Johnson P.a.c. NPPES

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

KATELYN ADMIRE JOHNSON P.A.C. (NPI 1528684388) is an individual physician assistant in Galena, Kansas, licensed in Oklahoma (4398) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Specialty Hospital Southeast Kansas, and maintains a secondary practice location in Joplin.

NPPES Registry Identity

NPI1528684388
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATELYN ADMIRE JOHNSONCredential: P.A.C.
Location Address444 FOUR STATES DRGalena, KS 66739-4324
Mailing Address444 Four States DrGalena, KS 66739-4324 · (620) 783-4441
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2020
Enumeration DateJune 17, 2020
Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
NPI 1528684388 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 OK · 4398
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.
444 FOUR STATES DR, Galena, KS 66739

Secondary Practice Location 1

Location 11717 S Range Line RdJoplin, MO 64804-3234 · Phone (417) 556-2040

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

Katelyn Admire Johnson P.a.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 ID2062830235
PECOS Enrollment IDI20260227001538, I20260227002290
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
61 services58 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Specialty Hospital Southeast Kansas

Acute Care Hospitals · Galena, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number170203
Location1619 K 66Galena, KS 66739 · Cherokee County

Mercy Hospital Carthage

Critical Access Hospitals · Carthage, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261338
Location3125 Dr Russell Smith WayCarthage, MO 64836 · Jasper County
Emergency services

Integris Grove Hospital

Acute Care Hospitals · Grove, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370113
Location1001 East 18th StreetGrove, OK 74344 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66739 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

Physician Assistant
444 FOUR STATES DR, SUITE 1
GALENA, KS 66739
Physical Therapy Assistant
444 FOUR STATES DR
GALENA, KS 66739
Orthopaedic Surgery
444 FOUR STATES DR, SUITE 1
GALENA, KS 66739
Podiatrist
444 FOUR STATES DR, STE 1
GALENA, KS 66739
Physician Assistant
444 FOUR STATES DR, SUITE 1
GALENA, KS 66739
Orthopaedic Surgery
444 FOUR STATES DR, SUITE 1
GALENA, KS 66739
Physical Therapist
444 FOUR STATES DR
GALENA, KS 66739
Nurse Anesthetist, Certified Registered
444 FOUR STATES DR, SUITE 2
GALENA, KS 66739

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 Katelyn Johnson's NPI number?

The NPI number for Katelyn Johnson is 1528684388. It was assigned to this individual provider in the NPPES registry on June 17, 2020.

Where is Katelyn Johnson located?

Katelyn Johnson practices at 444 Four States Dr, Galena, KS 66739. The listed phone number is (620) 783-4441.

What is Katelyn Johnson's specialty?

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

Is Katelyn Johnson enrolled in Medicare?

Yes. Katelyn 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 Katelyn Johnson affiliated with any hospitals?

According to CMS data, Katelyn Johnson is affiliated with Mercy Specialty Hospital Southeast Kansas, Mercy Hospital Carthage and Integris Grove Hospital.

When was this NPI record last updated?

The NPPES record for Katelyn Johnson was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.