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

Daniel Johnson, PA

Individual provider Physician Assistant · NPI 1811583784

Daniel Johnson, PA is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2020, 6 years ago. Practices with Diversus Health Inc, a 48-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
6
Licensed in
CO
In the registry since
2020
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

1795 Jet Wing Dr
Colorado Springs, CO 80916-2332
Phone: (719) 572-6100
Fax: (719) 572-6186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2221 Wellness Way, Lamar, CO 81052-3867 — (719) 336-0261
  • 201 Kendall Dr, Lamar, CO 81052-3939 — (719) 336-0261

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0006545 (CO)

Record details

NPI number1811583784
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 15, 2020
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

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 Diversus Health Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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