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

Mrs. Amanda Jean Johnson, PA-C

Individual provider Surgical Physician Assistant · NPI 1679569024

Mrs. Amanda Jean Johnson, PA-C is a Physician Assistant in Madison, Wisconsin. Qualified in 2005, 21 years ago. Practices with Mercy Health System Corporation, a 751-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
21
Licensed in
WI
In the registry since
2005
Specialties on file
2
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

4621 Eastpark Blvd
Madison, WI 53718-2000
Phone: (608) 915-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1821 S Stoughton Rd, Madison, WI 53716-2257 — (608) 260-6000

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2394 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 2394-023 (WI)

Record details

NPI number1679569024
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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