Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023206935 Individual Practitioner Female Practitioner

Tamara A Johnson , PA-C

Physician Assistant • St Louis Park, MN

Professional Overview & Biography Verified Profile Summary

Tamara Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in St Louis Park, MN. Practice services are available at 6490 EXCELSIOR BLVD under active NPI credentials.

Frequently performed procedures and clinical services include diagnostic examination of the anus using an endoscope, established patient outpatient office visit, repair of groin hernia (5 years or older). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6490 Excelsior Blvd
Ste W200

St Louis Park, MN 554264705

Telephone 9529933180
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in St Louis Park, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
107 Specialists

Practicing in St Louis Park, MN (4026 Statewide)

Telehealth Adoption Rate
36.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.8% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
46600 Diagnostic examination of the anus using an endoscope
33 31 $269.45 $78.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
33 32 $263.50 $88.86
99213 Established patient office or other outpatient visit, typically 15 minutes
11 11 $178.50 $62.09

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 1045

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

19 Associated Practitioners
NPI 1023748068

PHYSICIANASSISTANT

Sally Degner , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043281868

Certified Registered Nurse Anesthetist

Grace Perrone , PA-C

Physician Assistant

NPI 1043949266

Physician Assistant (Certified)

Dr. Paul Rokke , PhD

Psychologist - Clinical

NPI 1083208482

Doctor of Philosophy (Ph.D.)

Dr. Christopher Chow , MD

Colon & Rectal Surgery

NPI 1295908036

Doctor of Medicine (M.D.)

Dr. Charles Pinkerman , DO

Internal Medicine - Cardiovascular Disease

NPI 1376573436

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 05, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2007

Registered at 6490 EXCELSIOR BLVD, STE W200, ST LOUIS PARK, MN 554264705 (Tel: 9529933180)

📍
Updated Business Mailing Address October 05, 2007

Registered at 6465 WAYZATA BLVD, STE 210, ST LOUIS PARK, MN 554261728

👤
Provider Name / Credentials Updated October 05, 2007

Recorded as TAMARA JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2007

Physician Assistant (License #1045 in MN)

🟢
Initial NPI Registration & Enumeration October 05, 2007

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: 1023206935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2007
Last Update: October 05, 2007
Sole Proprietor: No

Mailing Address

6465 Wayzata Blvd, Ste 210

St Louis Park, MN 554261728

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.