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

Individual provider Physician Assistant · NPI 1891125662

Emmylu Abbie Johnson, PA-C is a Physician Assistant in Burnsville, Minnesota. Qualified in 2013, 13 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Minnesota.

Years since qualifying
13
Licensed in
IA, MN
In the registry since
2013
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

14000 Fairview Dr
Burnsville, MN 55337-5713
Phone: (952) 993-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 450 Laurel St Ste A, Des Moines, IA 50314-3045 — (515) 247-8400
  • 2525 Chicago Ave, Minneapolis, MN 55404-4518 — (952) 992-5316
  • 2861 W 26th St, Erie, PA 16506-3064 — (814) 835-6695
  • 7200 Peach St Unit 16, Erie, PA 16509-4756 — (814) 860-3301

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11496 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 108148 (IA)

Record details

NPI number1891125662
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2013
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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