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

Individual provider Physician Assistant · NPI 1942992508

Mackenzie Sue Johnson, PA-C is a Physician Assistant in Muskegon, Michigan. Qualified in 2022, 4 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2023
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

1670 E Sherman Blvd Ste 100
Muskegon, MI 49444-1863
Phone: (231) 672-3600
Fax: (231) 672-3601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3457 Yellowstone Dr Sw, Grandville, MI 49418-1966 — (616) 450-8569

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5315236633 (MI)

Record details

NPI number1942992508
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 23, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Muskegon