MS. ELIZABETH JO JOHNSON (PA-C) – Medical Physician Assistant, NPI 1932204716

MS. ELIZABETH JO JOHNSON (PA-C) is a healthcare provider. based in Appleton, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4172 (WI). The NPI Number for MS. ELIZABETH JO JOHNSON (PA-C) is 1932204716

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. ELIZABETH JO JOHNSON (PA-C)
NPI
1932204716
Phone
(920) 830-6877
Address
2500 E Capitol Dr Ste 1200
Enumeration Date
14 September 2006
Last Update Date
11 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8179128560
Graduation Year
2006 (20 years ago)
PAC ID
0143326793
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20220412001378
Address ID
TX760921477SO925XXBOUL401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness75
Years active:19State licenses:4Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for MS. ELIZABETH JO JOHNSON (PA-C)

  • 2500 E Capitol Dr Ste 1200

    Appleton, WI 54911

    Phone: (920) 830-6877

    Fax: (920) 738-5787

    Type: Location

  • 4924 Campbell Blvd

    Suite 125

    Baltimore, MD 212365908

    Phone: (443) 461-1997

    Fax: (443) 461-1998

    Type: Location

  • Franklin Square Drive, Nottingham, White Marsh, Baltimore County, Maryland, 21236, United States

    BALTIMORE, MD 212364902

    Phone:

    Type: Mailing

  • 103 BATA BLVD STE A

    BELCAMP, MD 21017

    Phone: (410) 575-6611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $291.

Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Abbott Laboratories ($130).

Total Amount

$291

General + Research + Ownership

Payments

11

Total payment records

General Amount

$291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2022-04-12

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
I20220412001378IPhysician AssistantTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes131125$0
87804Detection test by immunoassay with direct visual observation for influenza virus10050$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus5050$0
99213Established patient office or other outpatient visit, 20-29 minutes4242$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)4141$0
View full utilization report →

Insurance plans in this area (ZIP 54911)

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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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Orthopedic SurgeryTX
Clinical PsychologistTX
Internal MedicineTX

Reviews

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Frequently asked questions

Does MS. ELIZABETH JO JOHNSON (PA-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. ELIZABETH JO JOHNSON (PA-C) uses 1932204716.
Does CMS list MS. ELIZABETH JO JOHNSON (PA-C) as active?
Yes — MS. ELIZABETH JO JOHNSON (PA-C) is active in the NPI listing used on this page.
What is MS. ELIZABETH JO JOHNSON (PA-C) best known for clinically?
Directory data describes MS. ELIZABETH JO JOHNSON (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MS. ELIZABETH JO JOHNSON (PA-C) based?
MS. ELIZABETH JO JOHNSON (PA-C) is tied to Appleton, Wisconsin in the data we show; additional addresses may exist on the full record.
Why does MS. ELIZABETH JO JOHNSON (PA-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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