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

Jared Richard Johnson, PA-C

Individual provider Physician Assistant · NPI 1508247461

Jared Richard Johnson, PA-C is a Physician Assistant in Elko, Nevada. Qualified in 2015, 11 years ago. Practices with John Gull DO, PC, a 2-clinician group. Licensed in Nevada.

Years since qualifying
11
Licensed in
NV
In the registry since
2015
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

1784 Browning Way Ste 120
Elko, NV 89801-8331
Phone: (775) 738-2555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0343 (NV)

Record details

NPI number1508247461
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address612 Abarr Dr, Spring Creek, NV 89815-7344

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice John Gull D.O., P.C — 2 clinicians
Accepts Medicare assignment Not indicated

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