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

Katelyn Admire Johnson, PAC

Individual provider Physician Assistant · NPI 1528684388

Katelyn Admire Johnson, PAC is a Physician Assistant in Galena, Kansas. Graduated from Pennsylvania State University College of Medicine in 2020, 6 years ago. Practices with Mercy Clinic Joplin LLC, a 295-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Trained at
Pennsylvania State University College of Medicine
Licensed in
OK
In the registry since
2020
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

444 Four States Dr
Galena, KS 66739-4324
Phone: (620) 783-4441
Show map & directions

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

Additional practice locations (1)

  • 1717 S Range Line Rd, Joplin, MO 64804-3234 — (417) 556-2040

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 4398 (OK)

Record details

NPI number1528684388
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 17, 2020
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address444 Four States Dr, Galena, KS 66739-4324

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Mercy Clinic Joplin Llc — 295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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