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

Jerrilyn Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1568496990

Jerrilyn Johnson, PA-C is a Physician Assistant in Kenosha, Wisconsin. Qualified in 1998, 28 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
28
Licensed in
WI
In the registry since
2006
Specialties on file
2
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

8501 75th St Ste J
Kenosha, WI 53142-7602
Phone: (262) 898-4400
Fax: (262) 764-6157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9020 76th St Ste E, Pleasant Prairie, WI 53158-1976 — (262) 697-8030

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1069-23 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1069 (WI)

Record details

NPI number1568496990
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 20, 2021
Mailing address801 York St, Manitowoc, WI 54220-4630

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kenosha