Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114721420 Individual Practitioner Male Practitioner

Kevin Earl Johnson

Physician Assistant • Adel, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kevin Johnson is a certified Physician Assistant practicing in Adel, IA. With approximately 1 years of clinical experience since completing medical education in 2025, Kevin Johnson delivers high-quality medical care to the local community at 1120 GREENE ST.

Kevin Johnson is affiliated with Mercy Clinics Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1120 Greene St

Adel, IA 500031712

Telephone 5159934656
Fax 5159934532
Associated Practice Facility / Clinic
🏢 Adel Family Medical Center Pc Facility NPI 1366497257

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Adel, IA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -11.5 yrs vs City Avg
City Avg: 12.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Adel, IA (1543 Statewide)

Telehealth Adoption Rate
0.0% 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
Adel Specialty Average (12.5 Years) 12.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-11-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 134561

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

Mercy Clinics Inc

1120 Greene St, Adel, IA 500031712

Phone: 5159934656

Practice Associates & Co-Workers

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

4 Associated Practitioners
Lisa Kirkpatrick , PA-C

Physician Assistant

NPI 1043495872

Physician Assistant (Certified)

Dr. London Muse , MD

Family Medicine

NPI 1538425129

Doctor of Medicine (M.D.)

NPI 1730178914

Doctor of Medicine (M.D.)

Mace Boshart , PA-C

Physician Assistant

NPI 1770749665

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 19, 2025

Registered at 1120 GREENE ST, ADEL, IA 500031712 (Tel: 5159934656)

📍
Updated Business Mailing Address November 19, 2025

Registered at PO BOX 674721, DALLAS, TX 752674721 (Tel: 5156432519)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2025

Physician Assistant (License #134561 in IA)

NPI Profile Active April 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 03, 2025

Registered at 3200 GRAND AVE, DES MOINES, IA 503124104 (Tel: 5152711569)

📍
Updated Business Mailing Address April 03, 2025

Registered at 414 SW HICKORY CIR, GRIMES, IA 501112168 (Tel: 7855714322)

👤
Provider Name / Credentials Updated April 03, 2025

Recorded as KEVIN JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 03, 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: 1114721420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2025
Last Update: November 19, 2025
Sole Proprietor: No

Mailing Address

Po Box 674721

Dallas, TX 752674721

Phone: 5156432519

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.