Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexandra Rose Johnson, PA-C

Individual provider Physician Assistant · NPI 1639801913

Alexandra Rose Johnson, PA-C is a Physician Assistant in Joliet, Illinois. Qualified in 2022, 4 years ago. Practices with Advanced Ear Nose and Throat Specialists PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1150 Essington Rd
Joliet, IL 60435-8447
Phone: (888) 938-3838
Fax: (888) 919-1083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.009897 (IL)

Record details

NPI number1639801913
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025
Mailing address10001 W Innovation Dr Ste 200, Milwaukee, WI 53226-4851

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Advanced Ear Nose And Throat Specialists Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Joliet