AUSTIN JOHNSON PA-C
NPI 1568089787
Physician Assistant in Show Low, AZ

Q: What is Austin Johnson's NPI number?

The NPI number for Austin Johnson is 1568089787. It was assigned to this individual provider in the NPPES registry on July 3, 2020.

Q: What is Austin 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 Austin Johnson was last updated on September 22, 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.

Active since July 03, 2020PECOS Enrolled

2200 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901(855) 768-4968 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 22, 2020, Jul 3, 2020 (2 updates tracked since 2020).

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About Austin Johnson Pa-c NPPES

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

AUSTIN JOHNSON PA-C (NPI 1568089787) is an individual physician assistant in Show Low, Arizona and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Peoria, and is a graduate of Midwestern University College Of Dental Medicine, Glendale (2020).

NPPES Registry Identity

NPI1568089787

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameAUSTIN JOHNSONCredential: PA-C

Location Address2200 E SHOW LOW LAKE RDShow Low, AZ 85901-7831

Mailing Address2200 E Show Low Lake RdShow Low, AZ 85901-7831 · (855) 768-4968

Phone(855) 768-4968

Sole ProprietorNo

Medical School CMSMidwestern University College Of Dental Medicine, GlendaleGraduated 2020

Enumeration DateJuly 3, 2020

Last NPPES UpdateSeptember 22, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2020

✔ NPI 1568089787 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.

2200 E SHOW LOW LAKE RD, Show Low, AZ 85901

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Secondary Practice Location 1

Location 19681 N 82nd LnPeoria, AZ 85345-3101 · Phone (928) 814-2946

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Austin Johnson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820583404

PECOS Enrollment IDI20251220000588

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 85901 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

FANCY ANESTHESIA SERVICES INC

Nurse Anesthetist, Certified Registered