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

Jared Johnson, PA

Individual provider Orthopaedic Surgery Physician · NPI 1528524139

Jared Johnson, PA is a Physician Assistant in Abilene, Texas. Qualified in 2019, 7 years ago. Practices with Hendrick Provider Network, a 240-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas and Washington.

Years since qualifying
7
Licensed in
TX, WA
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Partly verified

Some contact details are missing from the federal record.

1888 Antilley Rd Ste 200
Abilene, TX 79606-1312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3240 Fort Rd, Toppenish, WA 98948-9562 — (188) 827-2619

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA12985 (TX)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence PA12985 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WA)

Record details

NPI number1528524139
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 19, 2019
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing addressPo Box 621019, Dallas, TX 75262-1019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Hendrick Provider Network — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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