Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. IVY M. JOHNSON PA-C
NPI 1962553628
Physician Assistant - Surgical in Irvine, CA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
113 WATERWORKS WAY STE 240, IRVINE, CA 92618(949) 340-9622(949) 528-3969 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2020, Mar 30, 2018, Mar 17, 2018 (3 updates tracked since 2018).

About Ms. Ivy M. Johnson Pa-c NPPES

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

MS. IVY M. JOHNSON PA-C (NPI 1962553628) is an individual surgical provider in Irvine, California, licensed in California (PA 15987) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1962553628
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. IVY M. JOHNSONCredential: PA-C
Location Address113 WATERWORKS WAY STE 240Irvine, CA 92618-3175
Mailing Address113 Waterworks Way Ste 240Irvine, CA 92618-3175 · (949) 340-9622 · Fax (949) 528-3969
Fax(949) 528-3969
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJune 17, 20263 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1962553628 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 CA · PA 15987
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA15987 (CA)
113 WATERWORKS WAY STE 240, Irvine, CA 92618

Other Names 1

Former Name (1)Ms. Ivy Melissa Murphy Pa-c

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

Ms. Ivy M. 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 ID4284600669
PECOS Enrollment IDI20040907001322
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 2

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 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.
116 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Other Providers at the Same Location NPPES 7

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

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
113 WATERWORKS WAY STE 240
IRVINE, CA 92618
Nurse Practitioner
113 WATERWORKS WAY STE 240
IRVINE, CA 92618
Physician Assistant (Surgical)
113 WATERWORKS WAY STE 240
IRVINE, CA 92618
Pain Medicine (Pain Medicine)
113 WATERWORKS WAY STE 240
IRVINE, CA 92618
Physician Assistant
113 WATERWORKS WAY STE 240
IRVINE, CA 92618
Orthopaedic Surgery
113 WATERWORKS WAY STE 240
IRVINE, CA 92618
Orthopaedic Surgery
113 WATERWORKS WAY STE 240
IRVINE, CA 92618

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 Ivy Johnson's NPI number?

The NPI number for Ivy Johnson is 1962553628. It was assigned to this individual provider in the NPPES registry on January 16, 2007. The provider is also known as Ms. Ivy Melissa Murphy Pa-C.

Where is Ivy Johnson located?

Ivy Johnson practices at 113 Waterworks Way Ste 240, Irvine, CA 92618. The listed phone number is (949) 340-9622.

What is Ivy Johnson's specialty?

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

Is Ivy Johnson enrolled in Medicare?

Yes. Ivy 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.

When was this NPI record last updated?

The NPPES record for Ivy Johnson was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.