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

Individual provider Medical Physician Assistant · NPI 1154688620

Leah Johnson, PA-C is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2011, 15 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
15
Licensed in
CO
In the registry since
2012
Specialties on file
2
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

2767 Janitell Rd
Colorado Springs, CO 80906-4102
Phone: (719) 365-2888
Fax: (719) 365-1577
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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 PA.0003878 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 0003878 (CO)

Record details

NPI number1154688620
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2012
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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