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

Lisa M Johnson, PA-C

Individual provider Physician Assistant · NPI 1619963709

Lisa M Johnson, PA-C is a Physician Assistant in Lincoln, Nebraska. Qualified in 2003, 23 years ago. Practices with Medelite Urgent Care LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
23
Licensed in
NE
In the registry since
2005
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

7120 S 69th St Ste 101A
Lincoln, NE 68516-3868
Phone: (402) 520-8955
Fax: (833) 471-5257
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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 1216 (NE)

Record details

NPI number1619963709
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Medelite Urgent Care Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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