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

Elizabeth Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902538051

Elizabeth Johnson is a Physician Assistant in Las Vegas, New Mexico. Qualified in 2023, 3 years ago. Practices with El Centro Family Health, a 48-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
3
Licensed in
NM
In the registry since
2022
Specialties on file
2

Practice location Address checks out

1235 8th St
Las Vegas, NM 87701-4219
Phone: (505) 425-6788
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2023-0296 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902538051
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2022
Last updated in NPPESNovember 22, 2023
Certification dateNovember 22, 2023
Mailing addressPo Box 2985, Las Vegas, NM 87701-2985

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice El Centro Family Health — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Las Vegas