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

Mr. Stanley Robin Johnson, PA

Individual provider Physician Assistant · NPI 1801845631

Mr. Stanley Robin Johnson, PA is a Physician Assistant in Colorado Springs, Colorado. Qualified in 1983, 43 years ago. Practices with Optumcare Colorado Medical Group LLC, a 190-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
43
Licensed in
CO
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2610 Tenderfoot Hill St
Colorado Springs, CO 80906-3981
Phone: (719) 522-1133
Fax: (719) 576-2025
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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.0000080 (CO)

Record details

NPI number1801845631
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Optumcare Colorado Medical Group Llc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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