Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Charlotte Rebecca Johnson, C-AA

Individual provider Anesthesiologist Assistant · NPI 1356813612

Mrs. Charlotte Rebecca Johnson, C-AA is an Anesthesiology Assistant in Colorado Springs, Colorado. Qualified in 2018, 8 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
8
Licensed in
CO
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone: (719) 365-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence ANT.0000099 (CO)
Anesthesiologist Assistant Taxonomy 367H00000X (CO)

Record details

NPI number1356813612
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-AA
Sole proprietorNo
NPI enumeratedDecember 27, 2018
Last updated in NPPESJanuary 7, 2019

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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