Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Lou Johnson, PA-C

Individual provider Physician Assistant · NPI 1013309715

Emily Lou Johnson, PA-C is a Physician Assistant in Maple Grove, Minnesota. Qualified in 2014, 12 years ago. Practices with University of Minnesota Physicians, a 156-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2015
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

9630 Grove Cir N Ste 200
Maple Grove, MN 55369-3492
Phone: (763) 520-7870
Fax: (763) 520-7580
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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 11759 (MN)

Record details

NPI number1013309715
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 4, 2015
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice University Of Minnesota Physicians — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Maple Grove