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

Derek A Johnson, PA-C

Individual provider Physician Assistant · NPI 1962746172

Derek A Johnson, PA-C is a Physician Assistant in Boca Raton, Florida. Qualified in 2012, 14 years ago. Practices with Bocacare Inc, a 197-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
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

701 NW 13th St Fl 3
Boca Raton, FL 33486-2305
Phone: (561) 955-5790
Fax: (561) 955-5791
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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 PA9106805 (FL)

Record details

NPI number1962746172
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESMarch 18, 2022
Certification dateMarch 18, 2022
Mailing address701 Nw 13th St Fl 3, Boca Raton, FL 33486-2305

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Bocacare Inc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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