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

Kalie Johnson, PA

Individual provider Athletic Trainer · NPI 1457739773

Kalie Johnson, PA is a Physician Assistant in Saint Cloud, Minnesota. Qualified in 2020, 6 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2015
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1406 6th Ave N
Saint Cloud, MN 56303-1901
Phone: (320) 251-2700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6811 Nicollet Ave, Richfield, MN 55423-2467 — (612) 669-5869

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Athletic Trainer Taxonomy 2255A2300X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1457739773
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 7, 2015
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021
Mailing address6811 Nicollet Ave, Richfield, MN 55423-2467

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Saint Cloud