ANDREA JOHNSON (PA-C) – Physician Assistant, NPI 1316708829

ANDREA JOHNSON (PA-C) is a healthcare provider. based in Medford, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for ANDREA JOHNSON (PA-C) is 1316708829

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA JOHNSON (PA-C)
NPI
1316708829
Phone
(541) 622-8900
Address
707 MURPHY RD
Enumeration Date
22 January 2024
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416228900
Graduation Year
2023 (3 years ago)
PAC ID
5395287312
Group Practice PAC ID
3779972161
Professional Enrollment ID
I20240605004048
Address ID
OR975048520ME707XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for ANDREA JOHNSON (PA-C)

  • 707 MURPHY RD

    MEDFORD, OR 975048520

    Phone: (541) 622-8900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Arthrex, Inc. ($109).

Total Amount

$161

General + Research + Ownership

Payments

2

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-06-05

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
I20240605004048IPhysician AssistantORTBD

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 97504)

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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: 3779972161View full group profile
NameSpecialtyState
Orthopedic SurgeryOR
Physician AssistantOR
Orthopedic SurgeryUT
Orthopedic SurgeryWI
Physician AssistantOR
Nurse PractitionerOR
Physical Therapist In Private PracticeOR
Nurse PractitionerOR
Orthopedic SurgeryOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANDREA JOHNSON (PA-C)?
ANDREA JOHNSON (PA-C) — NPI 1316708829 — is the standard way to identify this listing.
Can I rely on ANDREA JOHNSON (PA-C) being an active provider?
As of the registry snapshot, ANDREA JOHNSON (PA-C) is marked active.
What healthcare role does ANDREA JOHNSON (PA-C) hold?
Scheduling teams often label ANDREA JOHNSON (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ANDREA JOHNSON (PA-C) list a practice location?
Patients near Medford, Oregon may find ANDREA JOHNSON (PA-C) in results; validate coverage separately.
Why does ANDREA JOHNSON (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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