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

MS. Colette Johnson, PA

Individual provider Physician Assistant · NPI 1154179190

MS. Colette Johnson, PA is a Physician Assistant in Norwich, New York. Qualified in 2023, 3 years ago. Practices with Chenango Memorial Hospital Inc, a 109-clinician group and accepts Medicare assignment. Licensed in New York and Tennessee.

Years since qualifying
3
Licensed in
NY, TN
In the registry since
2024
Specialties on file
2
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

179 N Broad St
Norwich, NY 13815-1019
Phone: (607) 337-4111
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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 5955 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 034526 (NY)

Record details

NPI number1154179190
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Chenango Memorial Hospital Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Norwich