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

Breena Marie Johnson, PA-C

Individual provider Surgical Physician Assistant · NPI 1982908075

Breena Marie Johnson, PA-C is a Physician Assistant in Petoskey, Michigan. Qualified in 2010, 16 years ago. Practices with The Center for Plastic Surgery of Northern Michigan, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2011
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

416 Connable Ave
Petoskey, MI 49770-2212
Phone: (231) 330-4235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601006233 (MI)

Record details

NPI number1982908075
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2011
Last updated in NPPESJanuary 10, 2014
Mailing address790 Red Oak Way, Petoskey, MI 49770-2979

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice The Center For Plastic Surgery Of Northern Michigan — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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