CAROLINE JUDITH JOHNSON PA-C
NPI 1669023891
Physician Assistant in Louisville, KY

Q: What is Caroline Johnson's NPI number?

The NPI number for Caroline Johnson is 1669023891. It was assigned to this individual provider in the NPPES registry on September 29, 2019.

Q: What is Caroline 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 Caroline Johnson was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 29, 2019PECOS Enrolled

3999 DUTCHMANS LN STE 6F, LOUISVILLE, KY 40207(502) 394-5678(502) 394-5600 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 24, 2024, Oct 20, 2020, Apr 20, 2020 and 3 more (6 updates tracked since 2019).

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About Caroline Judith Johnson Pa-c NPPES

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

CAROLINE JUDITH JOHNSON PA-C (NPI 1669023891) is an individual physician assistant in Louisville, Kentucky, licensed in Kentucky (PA2562) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669023891

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCAROLINE JUDITH JOHNSONCredential: PA-C

Location Address3999 DUTCHMANS LN STE 6FLouisville, KY 40207-4724

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 394-5678

Fax(502) 394-5600

Sole ProprietorNo

Enumeration DateSeptember 29, 2019

Last NPPES UpdateApril 24, 20246 updates tracked since enumeration

NPPES CertifiedApril 24, 2024

✔ NPI 1669023891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in KY · PA2562✔ Licensed in KY · TC872

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.

3999 DUTCHMANS LN STE 6F, Louisville, KY 40207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian 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 (PECOS)

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

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 40207 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 8

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

ANGELENA B. EDWARDS M.D.

Urology (Pediatric Urology)