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

Cheyenne Rai Johnson

Individual provider Physician Assistant · NPI 1023622412

Cheyenne Rai Johnson is a Physician Assistant in Carlisle, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

220 Wilson St Ste 109
Carlisle, PA 17013-3697
Phone: (717) 249-1929
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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 MA061685 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA061685 (PA)

Record details

NPI number1023622412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 2, 2020
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address601 Memory Ln, York, PA 17402-2231

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carlisle