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

Miss. Mischelle K Johnson, PAC

Individual provider Personal Emergency Response Attendant · NPI 1801975982

Miss. Mischelle K Johnson, PAC is a Physician Assistant in Phoenix, Arizona. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2000, 26 years ago. Practices with Athena Medical Group, a 43-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
26
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

16515 S 40th St Bldg 9 Ste 143
Phoenix, AZ 85048
Phone: (480) 712-8319
Fax: (480) 712-1305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 14780 W. Mountain View Blvd., Surprise, AZ 85374-7280 — (623) 374-7774
  • 1942 Broadway St, Suite 314c, Boulder, CO 80302 — (480) 712-8319
  • 7901 4th St N, Ste 300, Saint Petersburg, FL 33702 — (480) 712-8319
  • 401 Ryland St, Suite 200-A, Reno, NV 89502 — (480) 712-8319
  • 5900 Balcones Drive Suite 6954, Austin, TX 78731 — (480) 712-8319
  • 5900 Balcones Drive Suite 100, Austin, TX 78731 — (602) 888-2344
  • 800 5th Avenue, Ste 101-800, Seattle, WA 98104 — (480) 712-8319

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Personal Emergency Response Attendant Taxonomy 146D00000X · Licence 2421 (AZ)

Record details

NPI number1801975982
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESNovember 2, 2022
Certification dateOctober 31, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2000 (26 years in practice)
Group practice Athena Medical Group — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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