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CONNOR LEE JOHNSON PA
NPI 1982443065
Physician Assistant in Provo, UT

Active since May 20, 2024PECOS Enrolled
395 W COUGAR BLVD, PROVO, UT 84604(801) 357-7081 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Connor Lee Johnson Pa NPPES

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

CONNOR LEE JOHNSON PA (NPI 1982443065) is an individual physician assistant in Provo, Utah, licensed in Utah (14271190-1206) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1982443065
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCONNOR LEE JOHNSONCredential: PA
Location Address395 W COUGAR BLVDProvo, UT 84604-3311
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 357-7081
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 20, 2024
Last NPPES UpdateFebruary 24, 2026
NPPES CertifiedFebruary 24, 2026
✔ NPI 1982443065 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 UT · 14271190-1206
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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 14271190-1206 (UT), PA.0009589 (CO)
395 W COUGAR BLVD, Provo, UT 84604
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Lee Johnson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092291005
PECOS Enrollment IDI20260109000705, I20260417001497
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 18

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

DANIEL N. BENNETT MD
Internal Medicine (Cardiovascular Disease)
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-4600
AMBER ELEXIS MARSH FNP-C
Nurse Practitioner (Adult Health)
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-7850
MEGAN E JENSEN-HILL PA-C
Physician Assistant
395 W COUGAR BLVD, STE 803
PROVO, UT 84604
Utah County (801) 235-7246
AUSTIN GUY BLANCHARD
Nurse Practitioner
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-4600
KAYLA NORTON MS, RDN
Dietitian, Registered
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-4141
EMMA CAROL CALVERT ELISON RN
Registered Nurse (Diabetes Educator)
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-7546
IHC HEALTH SERVICES INC
Internal Medicine (Rheumatology)
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 442-2000
JAKOB MROZEWSKI MD
Psychiatry & Neurology (Neurology)
395 W COUGAR BLVD
PROVO, UT 84604
Utah County (801) 357-7420

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 Connor Johnson's NPI number?

The NPI number for Connor Johnson is 1982443065. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Connor Johnson located?

Connor Johnson practices at 395 W Cougar Blvd, Provo, UT 84604. The listed phone number is (801) 357-7081.

What is Connor Johnson's specialty?

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

Is Connor Johnson enrolled in Medicare?

Yes. Connor Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Johnson was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.