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

Individual provider Physician Assistant · NPI 1205292059

Brooke N Johnson, PA-C is a Physician Assistant in St Charles, Illinois. Qualified in 2015, 11 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Indiana.

Years since qualifying
11
Licensed in
IL, IN
In the registry since
2016
Specialties on file
3
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

2900 Foxfield Rd Ste 100
St Charles, IL 60174-5799
Phone: (630) 377-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 301 E Day Rd, Mishawaka, IN 46545-3455 — (574) 234-8161
  • 3525 Olentangy River Rd, Columbus, OH 43214-3937 — (614) 566-4023

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.006560 (IL)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 10004517A (IN)

Record details

NPI number1205292059
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 10, 2016
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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