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

Mallory M. Johansen

Individual provider Physician Assistant · NPI 1457753626

Mallory M. Johansen is a Physician Assistant in Englewood, Colorado. Qualified in 2014, 12 years ago. Practices with Carepoint Emergency Medicine, PLLC, a 158-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
12
Licensed in
CO
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

501 E Hampden Ave
Englewood, CO 80113-2702
Phone: (303) 788-6911
Fax: (303) 306-7753
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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.0004112 (CO)
Physician Assistant Taxonomy 363A00000X (CO)

Record details

NPI number1457753626
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2014
Last updated in NPPESJune 10, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Carepoint Emergency Medicine, Pllc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Englewood