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

Nancy Moe Johnson, PA

Individual provider Medical Physician Assistant · NPI 1417262528

Nancy Moe Johnson, PA is a Physician Assistant in Beloit, Wisconsin. Qualified in 2010, 16 years ago. Practices with Mercy Health System Corporation, a 751-clinician group and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
16
Licensed in
CO, WI
In the registry since
2010
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.

See every abbreviation used in this directory →

Practice location Address checks out

1905 E Huebbe Pkwy Beloit Clinic
Beloit, WI 53511-1842
Phone: (608) 364-1460
Fax: (608) 363-7317
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2640-33 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3203 (CO)

Record details

NPI number1417262528
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 12, 2010
Last updated in NPPESNovember 16, 2016
Mailing address1905 E Huebbe Pkwy, Beloit Health System Inc, Beloit, WI 53511-1842

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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