Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053952499 Individual Practitioner Female Practitioner

Nicole Marie Johnson , PA-C

Physician Assistant • Winter Garden, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nicole Johnson, PA-C is a certified Physician Assistant practicing in Winter Garden, FL. With approximately 7 years of clinical experience since graduating from Duke University School Of Medicine in 2019, Nicole Johnson delivers high-quality medical care to the local community at 2200 FOWLER GROVE BLVD STE 140.

Nicole Johnson is affiliated with Adventhealth Primary Care Network Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 Fowler Grove Blvd Ste 140

Winter Garden, FL 347875597

Telephone 4076140528
Fax 4076140529

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Winter Garden, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -0.9 yrs vs City Avg
City Avg: 7.9 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
27 Specialists

Practicing in Winter Garden, FL (10376 Statewide)

Telehealth Adoption Rate
18.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (7 Years) 7 Yrs
Winter Garden Specialty Average (7.9 Years) 7.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
77 57 $382.00 $105.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
17 17 $385.00 $106.80

Medical Specialties & State Licenses

CMS Verified: 2023-02-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9116795

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.

Hospital & Practice Group Affiliations

Adventhealth Primary Care Network Inc

661 E Altamonte Dr, Altamonte Springs, FL 327015102

Phone: 4078314040

Secondary Practice Locations

7630 N Beach St Ste 140

Fort Worth, TX 761373016

Phone: 8172812977

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1104359876

Doctor of Osteopathic Medicine (D.O.)

NPI 1104804525

Doctor of Medicine (M.D.), Master of Science

Dr. Amanda Nadeau , DO

Family Medicine

NPI 1164881009

Doctor of Osteopathic Medicine (D.O.)

Tracey Adams , APRN

Nurse Practitioner - Family

NPI 1376882225

Advanced Practice Registered Nurse

NPI 1386164473

Doctor of Medicine (M.D.)

Dr. Nivedita Jerath , MD

Psychiatry & Neurology - Neurology

NPI 1427219724

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location February 13, 2023

Registered at 2200 FOWLER GROVE BLVD STE 140, WINTER GARDEN, FL 347875597 (Tel: 4076140528)

NPI Profile Active October 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2019

Registered at 7630 N BEACH ST STE 140, FORT WORTH, TX 761373016 (Tel: 8172812977)

📍
Updated Business Mailing Address October 07, 2019

Registered at 603 BROAD LEAF LN, MCKINNEY, TX 750725153 (Tel: 9546739812)

👤
Provider Name / Credentials Updated October 07, 2019

Recorded as NICOLE JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 07, 2019

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: 1053952499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2019
Last Update: February 13, 2023
Sole Proprietor: No

Mailing Address

603 Broad Leaf Ln

Mckinney, TX 750725153

Phone: 9546739812

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.