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TUCKER BOONE JOHNSON PA-C
NPI 1598267676
Physician Assistant - Surgical in Edina, MN

Active since March 05, 2018PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
6525 FRANCE AVE S STE 200, EDINA, MN 55435(952) 927-6501(952) 653-1433 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2021, Mar 5, 2018 (2 updates tracked since 2018).

About Tucker Boone Johnson Pa-c NPPES

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

TUCKER BOONE JOHNSON PA-C (NPI 1598267676) is an individual surgical provider in Edina, Minnesota, licensed in Utah (12064896-1206) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1598267676
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTUCKER BOONE JOHNSONCredential: PA-C
Location Address6525 FRANCE AVE S STE 200Edina, MN 55435-2176
Mailing Address6525 France Ave S Ste 200Edina, MN 55435-2176 · (952) 927-6501 · Fax (952) 653-1433
Phone(952) 927-6501
Fax(952) 653-1433
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 5, 2018
Last NPPES UpdateOctober 25, 20212 updates tracked since enumeration
NPPES CertifiedOctober 25, 2021
✔ NPI 1598267676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in UT · 12064896-1206
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
6525 FRANCE AVE S STE 200, Edina, MN 55435
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Tucker Boone 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 ID3476816786
PECOS Enrollment IDI20210928003197
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Complicated insertion of bladder tube 51703
This procedure involves placing a tube into your bladder to help with urine flow. It may be needed if you have trouble urinating naturally. The process requires specialized skill due to certain complexities but is done with utmost care for your comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

MAXINE RAE GUSTAFSON PA-C
Physician Assistant
6525 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (952) 927-6501
FAIRVIEW EXPRESS CARE
Clinic/Center
6525 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (612) 672-7272
KATHRYN PENDLETON M.D.
Internal Medicine (Critical Care Medicine)
6525 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (612) 672-7422
DR. MEGAN MARIE KRISTAN MD
Internal Medicine
6525 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (952) 848-8890
MATTHEW JOHN O'SHAUGHNESSY MD, PHD
Urology
6525 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (952) 927-6501
JOHN C. MOORE M.D.
Internal Medicine (Allergy & Immunology)
6525 FRANCE AVE S STE 200
EDINA, MN 55435
Hennepin County (612) 672-7422

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 Tucker Johnson's NPI number?

The NPI number for Tucker Johnson is 1598267676. It was assigned to this individual provider in the NPPES registry on March 5, 2018.

Where is Tucker Johnson located?

Tucker Johnson practices at 6525 France Ave S Ste 200, Edina, MN 55435. The listed phone number is (952) 927-6501.

What is Tucker Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Tucker Johnson enrolled in Medicare?

Yes. Tucker 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.

What insurance does Tucker Johnson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Tucker Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tucker Johnson affiliated with any hospitals?

According to CMS data, Tucker Johnson is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Tucker Johnson was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.