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

Susan Kees Johnson, PA-C

Individual provider Medical Physician Assistant · NPI 1467410902

Susan Kees Johnson, PA-C is a Physician Assistant in Cottage Grove, Wisconsin. Qualified in 1992, 34 years ago. Practices with Wildwood Family Clinic SC, a 27-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
34
Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

251 E Cottage Grove Rd
Cottage Grove, WI 53527-9619
Phone: (608) 839-3515
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 707-023 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 707-023 (WI)

Record details

NPI number1467410902
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESNovember 2, 2020
Certification dateOctober 30, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Wildwood Family Clinic Sc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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