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

Elise Nicole Johnston, PA-C

Individual provider Physician Assistant · NPI 1639896061

Elise Nicole Johnston, PA-C is a Physician Assistant in Allentown, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Pennsylvania.

Years since qualifying
4
Licensed in
FL, PA
In the registry since
2022
Specialties on file
2
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

1250 S Cedar Crest Blvd Ste 215
Allentown, PA 18103-6271
Phone: (610) 402-6986
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6811 Palisades Park Ct Ste 1, Fort Myers, FL 33912-7130 — (239) 533-5177
  • 1035 Piper Blvd # 101, Naples, FL 34110-1449 — (239) 465-4157

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA066863 (PA)
Physician Assistant Taxonomy 363A00000X · Licence PA9116608 (FL)

Record details

NPI number1639896061
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2022
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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