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IndividualActiveMedicare EnrolledCan Order/Refer

Kevin Earl Johnson

Physician Assistant

NPI: 1114721420Adel, Iowa, 50003(515) 993-4656Male

About Kevin Earl Johnson

Kevin Earl Johnson is a male healthcare professional specializing in Physician Assistant, registered under National Provider Identifier (NPI) number 1114721420. Kevin Earl Johnson received his medical education at OTHER, graduating in 2025.

Their primary practice is located at 1120 GREENE ST, Adel, Iowa 50003. Patients can reach the office at (515) 993-4656. In addition to the primary location, Kevin Earl Johnson maintains 1 additional practice location.

Kevin Earl Johnson is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services. Kevin Earl Johnson has been NPI-registered since 2025.

Key Metrics

Practice Locations

2

Doctor Details

Identity & Credentials

NPI Number
1114721420
Entity Type
Individual
First Name
Kevin
Last Name
Johnson
Gender
Male
Medical School
OTHER
Graduation Year
2025
Sole Proprietor
No
Status
active

Primary Practice Location

Address
1120 GREENE ST
City
Adel
State
Iowa
ZIP
50003-1712
Country
United States
Phone
(515) 993-4656
Fax
(515) 993-4532

Specialty & Taxonomy

Primary Specialty
Physician Assistant
Classification
Physician Assistant
Taxonomy Code
363A00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
PO BOX 674721
City
DALLAS
State
TX
ZIP
752674721

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Kevin Earl Johnson's NPI number?
Kevin Earl Johnson's National Provider Identifier (NPI) is 1114721420. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kevin Earl Johnson specialize in?
Kevin Earl Johnson specializes in Physician Assistant. They received their medical education at OTHER (class of 2025).
Where is Kevin Earl Johnson located?
Kevin Earl Johnson practices at 1120 GREENE ST, Adel, Iowa 50003. You can reach them by phone at (515) 993-4656. They also have 1 additional practice location.
Does Kevin Earl Johnson accept Medicare?
Yes, Kevin Earl Johnson is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Kevin Earl Johnson offer telehealth or virtual visits?
Kevin Earl Johnson does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kevin Earl Johnson is 1114721420.