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

Chi-Ann Dae Johnson, ACNPC-AG

Individual provider Emergency Registered Nurse · NPI 1043185614

Chi-Ann Dae Johnson, ACNPC-AG is a Nurse Practitioner in LA Junta, Colorado. Qualified in 2025, 1 year ago. Licensed in Colorado.

Years since qualifying
1
Licensed in
CO
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1100 Carson Ave
LA Junta, CO 81050-2751
Phone: (719) 384-5412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APN.1001339-NP (CO)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence RN.1649205 (CO)

Record details

NPI number1043185614
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedOctober 6, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare