MCKENZIE RAE JOHNSON PA-C
NPI 1548014756
Physician Assistant in State College, PA

Active since April 15, 2024PECOS EnrolledAccepts Medicare Assignment
1800 E PARK AVE, STATE COLLEGE, PA 16803(814) 231-7000 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mckenzie Rae Johnson Pa-c NPPES

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

MCKENZIE RAE JOHNSON PA-C (NPI 1548014756) is an individual physician assistant in State College, Pennsylvania and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1548014756
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMCKENZIE RAE JOHNSONCredential: PA-C
Location Address1800 E PARK AVEState College, PA 16803-6701
Mailing Address2517 Edgewood DrTyrone, PA 16686-3219 · (814) 414-7681
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 15, 2024
NPPES CertifiedApril 12, 2024
NPI 1548014756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1800 E PARK AVE, State College, PA 16803

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

Mckenzie Rae Johnson 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 ID6406396357
PECOS Enrollment IDI20240906001782
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Hospitalist
1800 E PARK AVE
STATE COLLEGE, PA 16803
Nurse Anesthetist, Certified Registered
1800 E PARK AVE
STATE COLLEGE, PA 16803
Dietitian, Registered
1800 E PARK AVE, NUTRITION AND CULINARY SERVICES
STATE COLLEGE, PA 16803
Physician Assistant
1800 E PARK AVE
STATE COLLEGE, PA 16803
Emergency Medicine
1800 E PARK AVE
STATE COLLEGE, PA 16803
Nurse Anesthetist, Certified Registered
1800 E PARK AVE
STATE COLLEGE, PA 16803
Anesthesiology
1800 E PARK AVE
STATE COLLEGE, PA 16803
Emergency Medicine (Emergency Medical Services)
1800 E PARK AVE, MOUNT NITTANY MEDICAL CENTER
STATE COLLEGE, PA 16803

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 Mckenzie Johnson's NPI number?

The NPI number for Mckenzie Johnson is 1548014756. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Mckenzie Johnson located?

Mckenzie Johnson practices at 1800 E Park Ave, State College, PA 16803. The listed phone number is (814) 231-7000.

What is Mckenzie Johnson's specialty?

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

Is Mckenzie Johnson enrolled in Medicare?

Yes. Mckenzie 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 Mckenzie Johnson affiliated with any hospitals?

According to CMS data, Mckenzie Johnson is affiliated with Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Mckenzie Johnson was last updated on April 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.