Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104455419 Individual Practitioner Female Practitioner

Nina Alexandra Johnson , PA

Physician Assistant • Thornton, CO

Professional Overview & Biography Verified Profile Summary

Nina Johnson, PA is a registered healthcare professional specializing in Physician Assistant in Thornton, CO. Practice services are available at 2900 E 136TH AVE STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2900 E 136th Ave Ste 201

Thornton, CO 802413542

Telephone 3039966005
Associated Practice Facility / Clinic
🏢 Peak Pediatrics Pllc Facility NPI 1881226363

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Thornton, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
61 Specialists

Practicing in Thornton, CO (3810 Statewide)

Telehealth Adoption Rate
11.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-08
Physician Assistant Primary Specialty

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.

Secondary Practice Locations

525 E 68th St

New York, NY 100654870

Phone: 2127465454

Practice Associates & Co-Workers

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

27 Associated Practitioners
Kelly Chasin , CPNP

Nurse Practitioner - Pediatrics

NPI 1023330297

Certified Pediatric Nurse Practitioner

Brielle Smith , PA-C

Physician Assistant - Medical

NPI 1043663248

Physician Assistant (Certified)

Jaimes Vail , MS, PA-C

Physician Assistant

NPI 1144552571

Master of Science, Physician Assistant (Certified)

Jessica Eret , PA

Nurse Practitioner - Pediatrics

NPI 1164826822

Physician Assistant

Lauren Durbin , NP

Nurse Practitioner - Pediatrics

NPI 1255227476

Nurse Practitioner

Maureen Carney , LCSW

Social Worker - Clinical

NPI 1285014951

Licensed Clinical Social Worker

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 08, 2025

Registered at 2900 E 136TH AVE STE 201, THORNTON, CO 802413542 (Tel: 3039966005)

📍
Updated Business Mailing Address April 08, 2025

Registered at 2800 7TH ST, BOULDER, CO 803043014 (Tel: 9147721119)

👤
Provider Name / Credentials Updated April 08, 2025

Recorded as NINA JOHNSON, PA

📍
Updated Practice Location September 30, 2021

Registered at 525 E 68TH ST, NEW YORK, NY 100654870 (Tel: 2127465454)

📍
Updated Business Mailing Address September 30, 2021

Registered at 525 E 68TH ST, NEW YORK, NY 100654870 (Tel: 2127465454)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2021

Physician Assistant

NPI Profile Active April 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2020

Registered at 570 LEXINGTON AVE FL 9, NEW YORK, NY 100226710 (Tel: 6469627277)

📍
Updated Business Mailing Address April 07, 2020

Registered at 570 LEXINGTON AVE FL 9, NEW YORK, NY 100226710 (Tel: 6469627277)

👤
Provider Name / Credentials Updated April 07, 2020

Recorded as NINA KOESTER, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104455419
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2020
Last Update: April 08, 2025
Sole Proprietor: No

Mailing Address

2800 7th St

Boulder, CO 803043014

Phone: 9147721119

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.