ARTHUR ALLEN JOHNSON (PA-C) – Physician Assistant, NPI 1104880830

ARTHUR ALLEN JOHNSON (PA-C) is a healthcare provider. based in Maricopa, Arizona. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 3189 (AZ). The NPI Number for ARTHUR ALLEN JOHNSON (PA-C) is 1104880830

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
ARTHUR ALLEN JOHNSON (PA-C)
NPI
1104880830
Phone
(520) 313-3121
Address
20926 N LAUREN RD
Enumeration Date
12 April 2006
Last Update Date
16 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7756235222
Graduation Year
2003 (23 years ago)
PAC ID
6507801735
Group Practice PAC ID
5193709798
Professional Enrollment ID
I20070227000494
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ARTHUR ALLEN JOHNSON (PA-C)

  • 20926, North Lauren Road, Maricopa, Pinal County, Arizona, 85138, United States

    MARICOPA, AZ 851386881

    Phone: (520) 313-3121

    Fax: (919) 882-9575

    Type: Mailing

  • 890, West Elliot Road, Gilbert, Maricopa County, Arizona, 85233, United States

    SUITE 102

    GILBERT, AZ 852335102

    Phone: (480) 545-2787

    Fax: (919) 882-9575

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $362.

Total Amount is formed as General ($362) + Research ($0) + Ownership ($0) = $362.

Last reported payment date: 2024-01-16 • Largest payer in this snapshot: ABBVIE INC. ($362).

Total Amount

$362

General + Research + Ownership

Payments

3

Total payment records

General Amount

$362

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$362
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050630000897IPhysician AssistantAZTBD
I20070227000494IPhysician AssistantNVTBD
I20230307000490IPhysician AssistantUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85138)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193709798View full group profile
NameSpecialtyState
Nurse PractitionerNV
Nurse PractitionerNV
Family PracticeAL
Nurse PractitionerNM
Nurse PractitionerNV
Certified Registered Nurse Anesthetist (Crna)TX
Hospitalist, Family Practice, Family PracticeNV
O B S T E T R I C S/ G Y N E C O L O G YIL
Diagnostic RadiologyWI
Medical Oncology, HematologyNV

Reviews

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Frequently asked questions

What identifier follows ARTHUR ALLEN JOHNSON (PA-C) across health systems?
The NPI 1104880830 uniquely identifies ARTHUR ALLEN JOHNSON (PA-C) in U.S. healthcare data.
Is ARTHUR ALLEN JOHNSON (PA-C)'s NPI status active today?
Active status means ARTHUR ALLEN JOHNSON (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say ARTHUR ALLEN JOHNSON (PA-C) does?
Insurance directories may phrase it differently, but here ARTHUR ALLEN JOHNSON (PA-C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to ARTHUR ALLEN JOHNSON (PA-C)?
The directory associates ARTHUR ALLEN JOHNSON (PA-C) with Maricopa, Arizona. Check all listed addresses for suites or satellite offices.
Why is information missing for ARTHUR ALLEN JOHNSON (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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