Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ethan Johnson

Individual provider Physician Assistant · NPI 1619827227

Ethan Johnson is a Physician Assistant in Springfield, Missouri. Qualified in 2025, 1 year ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2026
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Practice location Address checks out

1235 E Cherokee St
Springfield, MO 65804-2203
Phone: (417) 496-0724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619827227
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 2, 2026
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Mercy Clinic Springfield Communities

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1126 clinicians in the practice; 12 are shown here.

Other providers in Springfield