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

Kevin Earl Johnson

Individual provider Physician Assistant · NPI 1114721420

Kevin Earl Johnson is a Physician Assistant in Adel, Iowa. Qualified in 2025, 1 year ago. Practices with Mercy Clinics Inc, a 442-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
1
Licensed in
IA
In the registry since
2025

Practice location Address checks out

1120 Greene St
Adel, IA 50003-1712
Phone: (515) 993-4656
Fax: (515) 993-4532
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 134561 (IA)

Record details

NPI number1114721420
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing addressPo Box 674721, Dallas, TX 75267-4721

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mercy Clinics Inc — 442 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Adel