BROOKE JOHNSON PA-C
NPI 1962946517
Physician Assistant in Minneapolis, MN

Q: What is Brooke Johnson's NPI number?

The NPI number for Brooke Johnson is 1962946517. It was assigned to this individual provider in the NPPES registry on December 15, 2016.

Q: What is Brooke 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 Brooke Johnson was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 December 15, 2016

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 884-0649 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2018, Feb 15, 2017, Jan 17, 2017 and 1 more (4 updates tracked since 2016).

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About Brooke Johnson Pa-c NPPES

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

BROOKE JOHNSON PA-C (NPI 1962946517) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (12341) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1962946517

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameBROOKE JOHNSONCredential: PA-C

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside AveMinneapolis, MN 55454-1450 · (763) 498-1451

Phone(612) 884-0649

Sole ProprietorNo

Enumeration DateDecember 15, 2016

Last NPPES UpdateOctober 11, 20184 updates tracked since enumeration

✔ NPI 1962946517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 12341

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

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