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

Hailey Johnson

Individual provider Physician Assistant · NPI 1073212890

Hailey Johnson is a Physician Assistant in Fort Collins, Colorado. Qualified in 2025, 1 year ago. Practices with Banner Health Physicians Colorado LLC, a 277-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2023
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Practice location Address checks out

702A W Drake Rd
Fort Collins, CO 80526-5521
Phone: (720) 563-1724
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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 number1073212890
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

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 Banner Health Physicians Colorado Llc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Collins