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

Katelyn Marie Johnson, PA-C

Individual provider Physician Assistant · NPI 1659847325

Katelyn Marie Johnson, PA-C is a Physician Assistant in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2018.

Licensed in
IN
In the registry since
2018
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

7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone: (317) 621-6262
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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 10002632A (IN)

Record details

NPI number1659847325
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2018
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

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