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

Ian Mark Johnson, PA-C

Individual provider Physician Assistant · NPI 1922732452

Ian Mark Johnson, PA-C is a Physician Assistant in Edina, Minnesota. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2023, 3 years ago. Practices with North Memorial Health Care, a 506-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
3
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MN
In the registry since
2022
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

7373 France Ave S Ste 408
Edina, MN 55435-4549
Phone: (651) 430-3800
Fax: (651) 430-3827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5850 E Still Cir, Mesa, AZ 85206-3618 — (952) 300-0080
  • 14545 Quentin Ave S, Savage, MN 55378-2782 — (952) 300-0080

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14703 (MN)

Record details

NPI number1922732452
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 11, 2022
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address1950 Northwestern Ave S Ste 102, Stillwater, MN 55082-7615

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2023 (3 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Edina