Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700665569 Individual Practitioner Female Practitioner

Sophie Rae Johnson , PA-C

Physician Assistant • Mesa, AZ

Professional Overview & Biography Verified Profile Summary

Sophie Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Mesa, AZ. Practice services are available at 1400 S DOBSON RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1400 S Dobson Rd

Mesa, AZ 852024707

Telephone 4804123000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mesa, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.6 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
474 Specialists

Practicing in Mesa, AZ (3711 Statewide)

Telehealth Adoption Rate
8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
20 20 $1224.00 $142.06

Medical Specialties & State Licenses

CMS Verified: 2023-11-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 9973

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Savannah Babcock

Registered Nurse

NPI 1013865989
Dr. Madhuri Kashyap , MD

Emergency Medicine - Pediatric Emergency Medicine

NPI 1023577921

Doctor of Medicine (M.D.)

Dr. Eric Miller , MD

Internal Medicine - Critical Care Medicine

NPI 1043552128

Doctor of Medicine (M.D.)

Laramie Kuykendall , PA

Physician Assistant

NPI 1063138170

Physician Assistant

Dr. Cynthia Moreno , MD

Student in an Organized Health Care Education/Training Program

NPI 1063209906

Doctor of Medicine (M.D.)

Kelly Stanton

Specialist/Technologist, Other - Surgical Technologist

NPI 1083035638

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2023

Registered at 1400 S DOBSON RD, MESA, AZ 852024707 (Tel: 4804123000)

📍
Updated Business Mailing Address September 21, 2023

Registered at 48 RIVER ST, JACKSON, MN 561433369 (Tel: 5078400788)

👤
Provider Name / Credentials Updated September 21, 2023

Recorded as SOPHIE JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2023

Physician Assistant

🟢
Initial NPI Registration & Enumeration September 21, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700665569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2023
Last Update: November 29, 2023
Sole Proprietor: No

Mailing Address

48 River St

Jackson, MN 561433369

Phone: 5078400788

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.