Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982443065 Individual Practitioner Male Practitioner

Connor Lee Johnson , PA

Physician Assistant • Provo, UT

Professional Overview & Biography Verified Profile Summary

Connor Johnson, PA is a certified Physician Assistant practicing in Provo, UT. With approximately 1 years of clinical experience since completing medical education in 2025, Connor Johnson delivers high-quality medical care to the local community at 395 W COUGAR BLVD.

Connor Johnson does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

395 W Cougar Blvd

Provo, UT 846043311

Telephone 8013577081
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1720792583

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Provo, UT

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -9.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
147 Specialists

Practicing in Provo, UT (1904 Statewide)

Telehealth Adoption Rate
19.0% 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
Provo Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License UT 14271190-1206

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License UT 14271190-1206

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CO PA.0009589

Definition to come...

Practice Associates & Co-Workers

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

31 Associated Practitioners
James Arregui , PA-C

Physician Assistant

NPI 1023407848

Physician Assistant (Certified)

Mark Loveless , PA-C

Physician Assistant

NPI 1063427904

Physician Assistant (Certified)

Dr. James Dane , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1083629828

Doctor of Medicine (M.D.)

Shay Harding

Nurse Practitioner - Family

NPI 1134887821
Ethan Nielsen , PA

Physician Assistant

NPI 1154179844

Physician Assistant

Kaylan Olsen , NP

Nurse Practitioner

NPI 1184431116

Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location February 24, 2026

Registered at 395 W COUGAR BLVD, PROVO, UT 846043311 (Tel: 8013577081)

📍
Updated Business Mailing Address February 24, 2026

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2026

Physician Assistant (License #14271190-1206 in UT)

📍
Updated Practice Location January 05, 2026

Registered at 12605 E 16TH AVE, AURORA, CO 800452545 (Tel: 7208480000)

📍
Updated Business Mailing Address January 05, 2026

Registered at PO BOX 110429, AURORA, CO 800420429

👤
Provider Name / Credentials Updated January 05, 2026

Recorded as CONNOR JOHNSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2026

Physician Assistant (License #PA.0009589 in CO)

📍
Updated Practice Location September 29, 2025

Registered at 12505 E. 16TH AVE., AIP2, 3RD FLOOR, AURORA, CO 80045 (Tel: 3037243513)

📍
Updated Business Mailing Address September 29, 2025

Registered at 12505 E. 16TH AVE., AIP2, 3RD FLOOR, AURORA, CO 80045 (Tel: 3037243513)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2025

Physician Assistant

NPI Profile Active May 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2024

Registered at 8401 S CHAMBERS RD, ENGLEWOOD, CO 801123276 (Tel: 3033732008)

📍
Updated Business Mailing Address May 20, 2024

Registered at 8401 S CHAMBERS RD, ENGLEWOOD, CO 801123276 (Tel: 3033732008)

👤
Provider Name / Credentials Updated May 20, 2024

Recorded as CONNOR JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 20, 2024

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: 1982443065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2024
Last Update: February 24, 2026
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.