RACHAEL LYNN JOHNSON PA
NPI 1568229490
Physician Assistant - Medical in Friendship, WI

Active since March 06, 2024PECOS EnrolledAccepts Medicare Assignment
402 W LAKE ST, FRIENDSHIP, WI 53934(608) 339-6350 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2025, Nov 20, 2025, Aug 14, 2025 and 1 more (4 updates tracked since 2024).

About Rachael Lynn Johnson Pa NPPES

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

RACHAEL LYNN JOHNSON PA (NPI 1568229490) is an individual medical provider in Friendship, Wisconsin, licensed in Wisconsin (8671) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, is affiliated with Gundersen Moundview Hospital And Clinics, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1568229490
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameRACHAEL LYNN JOHNSONCredential: PA
Location Address402 W LAKE STFriendship, WI 53934-9699
Mailing Address402 W Lake StFriendship, WI 53934-9699 · (608) 339-3331
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 6, 2024
Last NPPES UpdateDecember 30, 20254 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1568229490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 8671
402 W LAKE ST, Friendship, WI 53934

Other Names 1

Former Name (1)Rachael Shafer

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

Rachael Lynn Johnson 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 ID6608369244
PECOS Enrollment IDI20251203000670
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.

Hospital Affiliations CMS Care Compare

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

Gundersen Moundview Hospital And Clinics

Critical Access Hospitals · Friendship, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521309
Location402 W Lake StFriendship, WI 53934 · Adams County
Emergency services

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.

Nurse Practitioner (Family)
402 W LAKE ST
FRIENDSHIP, WI 53934
Nurse Practitioner (Family)
402 W LAKE ST
FRIENDSHIP, WI 53934
General Practice
402 W LAKE ST
FRIENDSHIP, WI 53934
Physician Assistant (Medical)
402 W LAKE ST
FRIENDSHIP, WI 53934
Emergency Medicine
402 W LAKE ST
FRIENDSHIP, WI 53934
Pharmacist
402 W LAKE ST
FRIENDSHIP, WI 53934
Nurse Practitioner (Family)
402 W LAKE ST
FRIENDSHIP, WI 53934
Pharmacist
402 W LAKE ST
FRIENDSHIP, WI 53934

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 Rachael Johnson's NPI number?

The NPI number for Rachael Johnson is 1568229490. It was assigned to this individual provider in the NPPES registry on March 6, 2024. The provider is also known as Rachael Shafer.

Where is Rachael Johnson located?

Rachael Johnson practices at 402 W Lake St, Friendship, WI 53934. The listed phone number is (608) 339-6350.

What is Rachael Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Rachael Johnson enrolled in Medicare?

Yes. Rachael 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 Rachael Johnson affiliated with any hospitals?

According to CMS data, Rachael Johnson is affiliated with Gundersen Moundview Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Rachael Johnson was last updated on December 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.