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

Mrs. Vanessa N. Johnson, PA

Individual provider Medical Physician Assistant · NPI 1245474386

Mrs. Vanessa N. Johnson, PA is a Physician Assistant in Kansas City, Missouri. Qualified in 2008, 18 years ago. Practices with Blue Valley Dermatology LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
18
Licensed in
MO
In the registry since
2009
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

1004 Carondelet Dr Ste 330
Kansas City, MO 64114-4801
Phone: (816) 914-6400
Fax: (816) 941-6404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2009003502 (MO)

Record details

NPI number1245474386
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 20, 2009
Last updated in NPPESMay 17, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Blue Valley Dermatology Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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