Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962946517 Individual Practitioner Female Practitioner

Brooke Johnson , PA-C

Physician Assistant • Minneapolis, MN

Professional Overview & Biography Verified Profile Summary

Brooke Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Minneapolis, MN. Practice services are available at 2450 RIVERSIDE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2450 Riverside Ave

Minneapolis, MN 554541450

Telephone 6128840649
Associated Practice Facility / Clinic
🏢 Fairview Health Services Facility NPI 1013994359

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
502 Specialists

Practicing in Minneapolis, MN (4026 Statewide)

Telehealth Adoption Rate
21.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 12341

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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.

Practice Associates & Co-Workers

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

38 Associated Practitioners
Dr. Nancy Fahim , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1023034329

Doctor of Medicine (M.D.)

Roxanne Mcmurray , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073577904

Certified Registered Nurse Anesthetist

Dr. Robyn Reed , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1073620837

Doctor of Medicine (M.D.)

Dr. William Stauffer , MD

Internal Medicine - Infectious Disease

NPI 1093781049

Doctor of Medicine (M.D.)

NPI 1114188778

Doctor of Medicine (M.D.)

Jennifer Panger , APRN, CRNA

Nurse Anesthetist, Certified Registered

NPI 1114368057

Advanced Practice Registered Nurse, Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

14 Historical Events
👤
Provider Name / Credentials Updated October 11, 2018

Recorded as BROOKE JOHNSON, PA-C

NPI Profile Active February 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2017

Registered at 2450 RIVERSIDE AVE, MINNEAPOLIS, MN 554541450 (Tel: 6128840649)

📍
Updated Business Mailing Address February 15, 2017

Registered at 2450 RIVERSIDE AVE, MINNEAPOLIS, MN 554541450 (Tel: 7634981451)

👤
Provider Name / Credentials Updated February 15, 2017

Recorded as BROOKE ENEBAK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2017

Physician Assistant (License #12341 in MN)

📍
Updated Business Mailing Address January 17, 2017

Registered at 2450 RIVERSIDE AVE, MINNEAPOLIS, MN 554541450 (Tel: 7634981451)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2017

Physician Assistant

NPI Profile Active December 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2016

Registered at 2450 RIVERSIDE AVE, MINNEAPOLIS, MN 554541450 (Tel: 6128840649)

📍
Updated Business Mailing Address December 15, 2016

Registered at 1482 143RD AVE NW, ANDOVER, MN 553047641 (Tel: 7634981451)

👤
Provider Name / Credentials Updated December 15, 2016

Recorded as BROOKE ENEBAK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 15, 2016

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: 1962946517
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2016
Last Update: October 11, 2018
Sole Proprietor: No

Mailing Address

2450 Riverside Ave

Minneapolis, MN 554541450

Phone: 7634981451

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.