MRS. AMANDA JEAN JOHNSON PA-C
NPI 1679569024
Physician Assistant - Surgical in Madison, WI

Q: What is Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1679569024. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Q: What is Amanda Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 21, 2005PECOS EnrolledAccepts Medicare Assignment

4621 EASTPARK BLVD, MADISON, WI 53718(608) 915-0100 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Amanda Jean Johnson Pa-c NPPES

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

MRS. AMANDA JEAN JOHNSON PA-C (NPI 1679569024) is an individual surgical provider in Madison, Wisconsin, licensed in Wisconsin (2394) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Borgess Medical Center, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1679569024

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. AMANDA JEAN JOHNSONCredential: PA-C

Location Address4621 EASTPARK BLVDMadison, WI 53718-2000

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531 · (608) 260-6000

Phone(608) 915-0100

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateSeptember 21, 2005

Last NPPES UpdateJanuary 30, 2026

NPPES CertifiedJanuary 30, 2026

✔ NPI 1679569024 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 WI · 2394

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2394-023 (WI)

4621 EASTPARK BLVD, Madison, WI 53718

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Secondary Practice Location 1

Location 11821 S Stoughton Rd, Dean Medical CenterMadison, WI 53716-2257 · Phone (608) 260-6000

Other Identifiers 2

Medicaid1679569024WI

Other60959WI · Dean Health 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

Mrs. Amanda Jean 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 ID1355366394

PECOS Enrollment IDI20090617000381

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 7

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.

174 services77 patients

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.

115 services112 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

38 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

27 services20 patients

Advance care planning, each additional 30 minutes 99498

Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.

21 services14 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

20 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230117

Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County

Emergency services Birthing friendly

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520066

Location1000 Mineral Point AveJanesville, WI 53548 · Rock County

Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane 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.

PROF. CHARLENE JOAN SCHULZ M.S., DRPH

Genetic Counselor, MS