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Active NPI 1275401523 Individual Practitioner Male Practitioner

Connor Johnson , PA

Physician Assistant • Boise, ID

Professional Overview & Biography Verified Profile Summary

Connor Johnson, PA is a certified Physician Assistant practicing in Boise, ID. With approximately 1 years of clinical experience since completing medical education in 2025, Connor Johnson delivers high-quality medical care to the local community at 190 E BANNOCK ST.

Connor Johnson does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

190 E Bannock St

Boise, ID 837126241

Telephone 8018847614
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boise, ID

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
364 Specialists

Practicing in Boise, ID (1261 Statewide)

Telehealth Adoption Rate
12.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (1 Years) 1 Yrs
Boise Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID 2571593

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
Nora Suarez , NP

Nurse Practitioner - Neonatal, Critical Care

NPI 1003068677

Nurse Practitioner

Rebecca Wensel , PT

Physical Therapist

NPI 1003277518

Physical Therapist

Jennifer Woodburn

Nurse Practitioner

NPI 1003339268
Murry Odonnell

Occupational Therapist - Feeding, Eating & Swallowing

NPI 1003364530
Dr. Kaitlin Edminsten , DNP, AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1003650177

Doctor of Nursing Practice, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Allison May

Nurse Anesthetist, Certified Registered

NPI 1003670845

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address February 11, 2026

Registered at 190 E BANNOCK ST, BOISE, ID 837126241

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2026

Physician Assistant (License #2571593 in ID)

NPI Profile Active October 28, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2025

Registered at 190 E BANNOCK ST, BOISE, ID 837126241 (Tel: 8018847614)

📍
Updated Business Mailing Address October 28, 2025

Registered at 478 E VIOLETS COVE LN, GARDEN CITY, ID 837146093 (Tel: 8018847614)

👤
Provider Name / Credentials Updated October 28, 2025

Recorded as CONNOR JOHNSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2025

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 28, 2025

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: 1275401523
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2025
Last Update: February 11, 2026
Sole Proprietor: No

Mailing Address

190 E Bannock St

Boise, ID 837126241

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.