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Active NPI 1023140167 Individual Practitioner Female Practitioner

Kenita K Johnson , PA-C

Physician Assistant • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Kenita Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Omaha, NE. Practice services are available at 4101 WOOLWORTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4101 Woolworth Ave

Omaha, NE 681051850

Telephone 4023468800
Associated Practice Facility / Clinic
🏢 Omaha Vamc Facility NPI 1366491524

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
552 Specialists

Practicing in Omaha, NE (1366 Statewide)

Telehealth Adoption Rate
12.7% 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 NE 1279

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

40 Associated Practitioners
Sheri Plugge , RD

Dietitian, Registered

NPI 1003855073

Registered Dietitian

NPI 1013642354

Doctor of Pharmacy (Pharm.D.)

Lisa Ourada

Registered Nurse - Gastroenterology

NPI 1013738491
Mindy Mccuen

Registered Nurse - Urology

NPI 1013747898
Alyssa Bowers

Registered Nurse

NPI 1013755396
Heather Bojanski , LCSW, LMHP

Social Worker - Clinical

NPI 1013963263

Licensed Clinical Social Worker, LMHP

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4101 WOOLWORTH AVE, OMAHA, NE 681051850 (Tel: 4023468800)

📍
Updated Business Mailing Address July 08, 2007

Registered at 10621 POPPLETON AVE, OMAHA, NE 681241035 (Tel: 4023974769)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENITA JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #1279 in NE)

🟢
Initial NPI Registration & Enumeration March 12, 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: 1023140167
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

10621 Poppleton Ave

Omaha, NE 681241035

Phone: 4023974769

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.