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

Carmen Johnston, PA

Individual provider Physician Assistant · NPI 1437415064

Carmen Johnston, PA is a Physician Assistant in Warsaw, Indiana. Qualified in 2010, 16 years ago. Practices with Medstat LLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
16
Licensed in
IN
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1500 Provident Dr Ste A
Warsaw, IN 46580-3297
Phone: (574) 372-7637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 W Old Key Dr, Peru, IN 46970-9057 — (765) 475-6963

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10001237A (IN)

Record details

NPI number1437415064
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 9, 2012
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020
Mailing address315 W Old Key Dr, Peru, IN 46970-9057

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 Medstat Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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