CORBIN JOHNSON PA-C
NPI 1689532814
Physician Assistant in Minneapolis, MN

Q: What is Corbin Johnson's NPI number?

The NPI number for Corbin Johnson is 1689532814. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Q: What is Corbin 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 Corbin Johnson was last updated on February 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 15, 2026PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 672-6000 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Corbin Johnson Pa-c NPPES

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

CORBIN JOHNSON PA-C (NPI 1689532814) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (15698) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689532814

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCORBIN JOHNSONCredential: PA-C

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address1700 University Ave W Fl 6Saint Paul, MN 55104-3727

Phone(612) 672-6000

Sole ProprietorNo

Enumeration DateJanuary 15, 2026

Last NPPES UpdateFebruary 25, 2026

NPPES CertifiedFebruary 25, 2026

✔ NPI 1689532814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 15698

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.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corbin 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 55454 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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