Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891100053 Individual Practitioner Female Practitioner

Holly J Johnson , PA-C

Physician Assistant • Topeka, KS

Professional Overview & Biography Verified Profile Summary

Holly Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Topeka, KS. Practice services are available at 3711A SW WANAMAKER RD under active NPI credentials.

Frequently performed procedures and clinical services include intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose, adm sarscov2 100mcg/0.5ml1st, intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3711a Sw Wanamaker Rd

Topeka, KS 666101368

Telephone 7853803310
Fax 7853808012
Associated Practice Facility / Clinic
🏢 Lifetech Sciences Llc Facility NPI 1497354575

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Topeka, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
105 Specialists

Practicing in Topeka, KS (1349 Statewide)

Telehealth Adoption Rate
13.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose
120 120 $40.00 $15.91
0011A Adm sarscov2 100mcg/0.5ml1st
113 113 $40.00 $15.91
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose
16 16 $40.00 $26.25

Medical Specialties & State Licenses

CMS Verified: 2024-12-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KS 15-01805

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan
068002420 (KS)

Secondary Practice Locations

1516 Sw 6th Ave

Topeka, KS 666061696

Phone: 7852708605

2909 Se Walnut Dr

Topeka, KS 666052189

Phone: 7852700047

6725 Sw 29th St

Topeka, KS 666145625

Phone: 7853540517

4505 Nw Fielding Rd

Topeka, KS 666182651

Phone: 7852700047

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location December 30, 2024

Registered at 3711A SW WANAMAKER RD, TOPEKA, KS 666101368 (Tel: 7853803310)

📍
Updated Business Mailing Address December 30, 2024

Registered at 3711A SW WANAMAKER RD, TOPEKA, KS 666101368 (Tel: 7853803310)

📍
Updated Practice Location March 04, 2024

Registered at 1516 SW 6TH AVE, TOPEKA, KS 666061696 (Tel: 7852708605)

📍
Updated Business Mailing Address March 04, 2024

Registered at 1516 SW 6TH AVE, TOPEKA, KS 666061696 (Tel: 7852708605)

📍
Updated Practice Location October 22, 2021

Registered at 1130 N KANSAS AVE, TOPEKA, KS 666081244 (Tel: 7852708605)

📍
Updated Business Mailing Address October 22, 2021

Registered at 1130 N KANSAS AVE, TOPEKA, KS 666081244 (Tel: 7852708605)

NPI Profile Active January 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2017

Registered at 1504 SW 8TH AVE, TOPEKA, KS 666061632 (Tel: 7852708605)

📍
Updated Business Mailing Address January 05, 2017

Registered at 1504 SW 8TH AVE, TOPEKA, KS 666061632 (Tel: 7852708605)

👤
Provider Name / Credentials Updated January 05, 2017

Recorded as HOLLY JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2017

Physician Assistant (License #15-01805 in KS)

🟢
Initial NPI Registration & Enumeration June 26, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1891100053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2014
Last Update: December 30, 2024
Sole Proprietor: No

Mailing Address

3711a Sw Wanamaker Rd

Topeka, KS 666101368

Phone: 7853803310

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.