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

Kelly Johnson

Individual provider Physician Assistant · NPI 1720408172

Kelly Johnson is a Physician Assistant in Aspen, Colorado. Qualified in 2015, 11 years ago. Practices with Steadman Clinic Professional LLC, a 78-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Washington.

Years since qualifying
11
Licensed in
CO, WA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

401 Castle Creek Rd Ste 2100
Aspen, CO 81611-1159
Phone: (970) 476-1100
Fax: (970) 479-5835
Show map & directions

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

Additional practice locations (1)

  • 301 S 320th St, Federal Way, WA 98003-5200 — (253) 874-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0004662 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 60610430 (WA)

Record details

NPI number1720408172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 24, 2014
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address301 S 320th St, Federal Way, WA 98003-5200

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Steadman Clinic Professional Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Aspen