ASHLEY JOHNSON PA-C
NPI 1942728183
Physician Assistant in Vermillion, SD

Active since September 08, 2017PECOS EnrolledAccepts Medicare Assignment
82.28/100
CMS Quality Rating
101 S PLUM ST, VERMILLION, SD 57069(605) 624-8643 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 3, 2022, Oct 23, 2017 (2 updates tracked since 2017).

About Ashley Johnson Pa-c NPPES

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

ASHLEY JOHNSON PA-C (NPI 1942728183) is an individual physician assistant in Vermillion, South Dakota, licensed in South Dakota (1106) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Hawarden Regional Healthcare, and maintains a secondary practice location in Yankton.

NPPES Registry Identity

NPI1942728183
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY JOHNSONCredential: PA-C
Location Address101 S PLUM STVermillion, SD 57069-3306
Mailing Address1104 W 8th StYankton, SD 57078-3306 · (605) 665-7841 · Fax (605) 665-8337
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 8, 2017
Last NPPES UpdateMay 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
NPI 1942728183 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 SD · 1106
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.

101 S PLUM ST, Vermillion, SD 57069

Secondary Practice Location 1

Location 11104 W 8th StYankton, SD 57078-3306 · Phone (605) 665-7841 · Fax (605) 665-8337

Other Identifiers 2

Other1145505Nccpa Certification
Other1106SD · Medical License

Accepted 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

Ashley 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 ID8123384336
PECOS Enrollment IDI20171103001491, I20220504001966
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 10

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services85 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
36 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
36 services36 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
32 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Hawarden Regional Healthcare

Critical Access Hospitals · Hawarden, IA
OwnershipGovernment - Local
CMS Certification Number161311
Location1111 11th StreetHawarden, IA 51023 · Sioux County
Emergency services

Avera Dells Area Hospital - Cah

Critical Access Hospitals · Dell Rapids, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431331
Location909 N Iowa AveDell Rapids, SD 57022 · Minnehaha County
Emergency services

Sanford Vermillion Hospital

Critical Access Hospitals · Vermillion, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431336
Location20 South Plum StreetVermillion, SD 57069 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57069 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.81
Promoting Interoperability99
Improvement Activities40
Cost52.95

Other Providers at the Same Location NPPES 9

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

Family Medicine
101 S PLUM ST
VERMILLION, SD 57069
General Practice
101 S PLUM ST
VERMILLION, SD 57069
Family Medicine
101 S PLUM ST
VERMILLION, SD 57069
Physician Assistant (Medical)
101 S PLUM ST
VERMILLION, SD 57069
Pediatrics
101 S PLUM ST
VERMILLION, SD 57069
Family Medicine
101 S PLUM ST
VERMILLION, SD 57069
Physician Assistant (Medical)
101 S PLUM ST
VERMILLION, SD 57069
Nurse Practitioner (Family)
101 S PLUM ST
VERMILLION, SD 57069

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 Ashley Johnson's NPI number?

The NPI number for Ashley Johnson is 1942728183. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Ashley Johnson located?

Ashley Johnson practices at 101 S Plum St, Vermillion, SD 57069. The listed phone number is (605) 624-8643.

What is Ashley Johnson's specialty?

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

Is Ashley Johnson enrolled in Medicare?

Yes. Ashley 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 Ashley Johnson accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and Sanford Health Plan list Ashley 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 Ashley Johnson affiliated with any hospitals?

According to CMS data, Ashley Johnson is affiliated with Hawarden Regional Healthcare, Avera Dells Area Hospital - Cah and Sanford Vermillion Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Johnson was last updated on May 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.