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EVAN JOHNSON PA-C
NPI 1912637042
Physician Assistant in Burley, ID

Active since June 13, 2022PECOS EnrolledAccepts Medicare Assignment
1252 BENNETT AVE STE B, BURLEY, ID 83318(208) 647-0656 Get Directions Write a Review

NPPES record last updated: November 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Johnson Pa-c NPPES

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

EVAN JOHNSON PA-C (NPI 1912637042) is an individual physician assistant in Burley, Idaho, licensed in Idaho (PA-2622) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Cassia Regional Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912637042
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEVAN JOHNSONCredential: PA-C
Location Address1252 BENNETT AVE STE BBurley, ID 83318-2664
Mailing Address1252 Bennett Ave Ste BBurley, ID 83318-2664 · (208) 647-0656
Phone(208) 647-0656
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 13, 2022
Last NPPES UpdateNovember 4, 2023
NPPES CertifiedNovember 4, 2023
✔ NPI 1912637042 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 ID · PA-2622
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.
1252 BENNETT AVE STE B, Burley, ID 83318
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Evan 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 ID547612707
PECOS Enrollment IDI20240123004645
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.

Hospital Affiliations CMS Care Compare

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

Cassia Regional Hospital

Critical Access Hospitals · Burley, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131326
Location1501 Hiland AvenueBurley, ID 83318 · Cassia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83318 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 2

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

STERLING MEDICAL LLC
Clinic/Center (Urgent Care)
1252 BENNETT AVE STE B
BURLEY, ID 83318
Cassia County (208) 878-8783
JESSE G BRADSHAW PA-C
Physician Assistant
1252 BENNETT AVE STE B
BURLEY, ID 83318
Cassia County (208) 647-0656

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 Evan Johnson's NPI number?

The NPI number for Evan Johnson is 1912637042. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Where is Evan Johnson located?

Evan Johnson practices at 1252 Bennett Ave Ste B, Burley, ID 83318. The listed phone number is (208) 647-0656.

What is Evan Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Evan Johnson enrolled in Medicare?

Yes. Evan 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 Evan Johnson accept?

Health plans from Providence Health Plan list Evan 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 Evan Johnson affiliated with any hospitals?

According to CMS data, Evan Johnson is affiliated with Cassia Regional Hospital.

When was this NPI record last updated?

The NPPES record for Evan Johnson was last updated on November 4, 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.