Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Johnson, PA-C

Individual provider Physician Assistant · NPI 1659889368

Blake Johnson, PA-C is a Physician Assistant in Kearney, Nebraska. Qualified in 2017, 9 years ago. Practices with Bryan Hospital Kearney, a 117-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
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

804 22nd Ave
Kearney, NE 68845-2206
Phone: (308) 455-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1659889368
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 16, 2018
Last updated in NPPESJanuary 16, 2018
Mailing address804 22nd Ave, Kearney, NE 68845-2206

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Bryan Hospital Kearney — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kearney