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

Ian James Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952916934

Ian James Johnson is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2022, 4 years ago. Practices with Family Healthservices Minnesota PA, a 60-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1540 Randolph Ave
Saint Paul, MN 55105-2535
Phone: (651) 699-8333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2211 Riverside Ave, Minneapolis, MN 55454-1350 — (612) 330-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1952916934
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Family Healthservices Minnesota Pa — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Saint Paul