ALISHA JOHANSSON – Physician Assistant, NPI 1275147845

ALISHA JOHANSSON is a healthcare provider. based in Meeker, Colorado. specializing in PHYSICIAN ASSISTANT. They hold a License No. 0007418 (CO). The NPI Number for ALISHA JOHANSSON is 1275147845

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ALISHA JOHANSSON
NPI
1275147845
Phone
(970) 878-5047
Address
100 PIONEERS MEDICAL CENTER DR
Enumeration Date
1 September 2020
Last Update Date
7 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9708785047
Graduation Year
2022 (4 years ago)
PAC ID
0547643736
Group Practice PAC ID
0345249751
Professional Enrollment ID
I20220822001203
Address ID
CO816413181ME100XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for ALISHA JOHANSSON

  • 100 PIONEERS MEDICAL CENTER DR

    MEEKER, CO 816413181

    Phone: (970) 878-5047

    Type: Mailing

  • 705 MARKETPLACE PLZ STE 200

    STEAMBOAT SPRINGS, CO 804871841

    Phone: (970) 879-6663

    Type: Location

  • 1319 MANITOU AVE

    STEAMBOAT SPRINGS, CO 804874932

    Phone: (720) 936-8433

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Bioventus LLC ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Bioventus LLC$14
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: 2022-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20220822001203IPhysician AssistantCOTBD

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 81641)

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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: 0345249751View full group profile
NameSpecialtyState
Physician AssistantNH
Clinical Social WorkerCO
Family PracticeCO
Physician AssistantUT
Orthopedic SurgeryCO
Physician AssistantOH
Nurse PractitionerCO
Physician AssistantMT
Orthopedic SurgeryCO
General Practice, Sports MedicineKS

Reviews

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Frequently asked questions

Where can patients find ALISHA JOHANSSON's NPI?
You can confirm ALISHA JOHANSSON with NPI 1275147845; it appears in the national provider directory.
Is ALISHA JOHANSSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize ALISHA JOHANSSON's specialty in plain language?
Clinically, the directory lists ALISHA JOHANSSON with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ALISHA JOHANSSON's primary listing?
We display Meeker, Colorado because that is what the record indicates for ALISHA JOHANSSON.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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