SOPHIE RAE JOHNSON PA-C
NPI 1700665569
Physician Assistant in Mesa, AZ

Q: What is Sophie Johnson's NPI number?

The NPI number for Sophie Johnson is 1700665569. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Q: What is Sophie 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 Sophie Johnson was last updated on November 29, 2023. 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 21, 2023PECOS Enrolled

1400 S DOBSON RD, MESA, AZ 85202(480) 412-3000 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sophie Rae Johnson Pa-c NPPES

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

SOPHIE RAE JOHNSON PA-C (NPI 1700665569) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (9973) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700665569

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSOPHIE RAE JOHNSONCredential: PA-C

Location Address1400 S DOBSON RDMesa, AZ 85202-4707

Mailing Address48 River StJackson, MN 56143-3369 · (507) 840-0788

Phone(480) 412-3000

Sole ProprietorNo

Enumeration DateSeptember 21, 2023

Last NPPES UpdateNovember 29, 2023

NPPES CertifiedNovember 29, 2023

✔ NPI 1700665569 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 AZ · 9973

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.

1400 S DOBSON RD, Mesa, AZ 85202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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)

Sophie Rae 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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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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