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Active NPI 1912637042 Individual Practitioner Male Practitioner

Evan Johnson , PA-C

Physician Assistant • Burley, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Evan Johnson, PA-C is a certified Physician Assistant practicing in Burley, ID. With approximately 3 years of clinical experience since completing medical education in 2023, Evan Johnson delivers high-quality medical care to the local community at 1252 BENNETT AVE STE B.

Evan Johnson maintains professional affiliations with Physicians Immediate Care Of Twin Falls Pa, North Canyon Medical Center Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1252 Bennett Ave Ste B

Burley, ID 833182664

Telephone 2086470656
Associated Practice Facility / Clinic
🏢 Sterling Medical Llc Facility NPI 1457726804

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Burley, ID

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -5.4 yrs vs City Avg
City Avg: 8.4 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Burley, ID (1261 Statewide)

Telehealth Adoption Rate
7.7% 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 (3 Years) 3 Yrs
Burley Specialty Average (8.4 Years) 8.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-11-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-2622

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

Physicians Immediate Care Of Twin Falls Pa

243 Cheney Dr W, Twin Falls, ID 833014278

Phone: 2087367422

North Canyon Medical Center Inc

491 Heritage Dr, Jerome, ID 833386701

Phone: 2086447500

Physicians Immediate Care Of Twin Falls Pa

1252 Bennett Ave, Burley, ID 833182664

Phone: 2086470656

Practice Associates & Co-Workers

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

1 Associated Practitioners
Jesse Bradshaw , PA-C

Physician Assistant

NPI 1821579012

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location November 04, 2023

Registered at 1252 BENNETT AVE STE B, BURLEY, ID 833182664 (Tel: 2086470656)

📍
Updated Business Mailing Address November 04, 2023

Registered at 1252 BENNETT AVE STE B, BURLEY, ID 833182664 (Tel: 2086470656)

👤
Provider Name / Credentials Updated November 04, 2023

Recorded as EVAN JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2023

Physician Assistant (License #PA-2622 in ID)

NPI Profile Active June 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2022

Registered at 921 S 8TH AVE STOP 8253, POCATELLO, ID 832090002 (Tel: 2082824726)

📍
Updated Business Mailing Address June 13, 2022

Registered at 921 S 8TH AVE STOP 8253, POCATELLO, ID 832090002 (Tel: 2082824726)

👤
Provider Name / Credentials Updated June 13, 2022

Recorded as EVAN JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 13, 2022

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: 1912637042
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2022
Last Update: November 04, 2023
Sole Proprietor: No

Mailing Address

1252 Bennett Ave Ste B

Burley, ID 833182664

Phone: 2086470656

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.