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

Mr. Tyler K Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1003362914

Mr. Tyler K Johnson, PA-C is a Physician Assistant in Excelsior, Minnesota. Graduated from University of South Alabama College of Medicine in 2016, 10 years ago. Practices with Ridgeview Medical Center, a 406-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
10
Trained at
University of South Alabama College of Medicine
Licensed in
IL
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

675 Water St
Excelsior, MN 55331-3072
Phone: (952) 906-7855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 560 S Maple St Ste 400, Waconia, MN 55387-1757 — (952) 442-2191

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085005949 (IL)

Record details

NPI number1003362914
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2016
Last updated in NPPESMay 7, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Ridgeview Medical Center — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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