Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Thomas Johnsen, PA-C

Individual provider Physician Assistant · NPI 1962116988

Justin Thomas Johnsen, PA-C is a Physician Assistant in Woodbury, Minnesota. Qualified in 2022, 4 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2023
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

8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone: (651) 241-3000
Fax: (651) 241-3205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435-5435 — (952) 835-9880

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14327 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1962116988
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2023
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

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 Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Woodbury