Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457895823 Individual Practitioner Female Practitioner

Katherine Rose Johansen , PA-C

Physician Assistant • Mc Lean, VA

Professional Overview & Biography Verified Profile Summary

Katherine Johansen, PA-C is a registered healthcare professional specializing in Physician Assistant in Mc Lean, VA. Practice services are available at 1775 TYSONS BLVD STE 300 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1775 Tysons Blvd Ste 300

Mc Lean, VA 221024285

Telephone 8886636331
Fax 4152527176
Associated Practice Facility / Clinic
🏢 Ohio State University - Cap Facility NPI 1689632515

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mc Lean, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
32 Specialists

Practicing in Mc Lean, VA (4432 Statewide)

Telehealth Adoption Rate
15.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.2% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
16 16 $205.00 $75.31
36415 Insertion of needle into vein for collection of blood sample
14 14 $13.00 $8.40
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
11 11 $87.73 $50.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
11 11 $37.00 $7.61
80047 Blood test, basic group of blood chemicals (calcium, ionized)
11 11 $55.82 $13.46
71046 X-ray of chest, 2 views
11 11 $36.00 $8.72

Medical Specialties & State Licenses

CMS Verified: 2025-09-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110005664

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

NUCC Taxonomy Code: 363A00000X

State License DC PA200002312

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.

Secondary Practice Locations

100 Brewster Blvd

Camp Lejeune, NC 285472575

Phone: 8045018222

3370 Pump Rd

Richmond, VA 232331130

Phone: 8043608061

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003020041

Doctor of Medicine (M.D.)

Makeda Gant

Nurse Practitioner - Family

NPI 1003201039
Shuk Fong Tang , APRN

Nurse Practitioner - Family

NPI 1003221102

Advanced Practice Registered Nurse

NPI 1003227927

Doctor of Medicine (M.D.), MSPH

Reshma Patel , PA

Physician Assistant

NPI 1003239765

Physician Assistant

Sarah Haney

Family Medicine

NPI 1003285420

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location September 29, 2025

Registered at 1775 TYSONS BLVD STE 300, MC LEAN, VA 221024285 (Tel: 8886636331)

📍
Updated Business Mailing Address September 29, 2025

Registered at 1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 941113723 (Tel: 4156586791)

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

Physician Assistant (License #PA200002312 in DC)

📍
Updated Practice Location September 10, 2019

Registered at 100 BREWSTER BLVD, CAMP LEJEUNE, NC 285472575 (Tel: 8045018222)

📍
Updated Business Mailing Address September 10, 2019

Registered at 100 BREWSTER BLVD, CAMP LEJEUNE, NC 285472575 (Tel: 8045018222)

👤
Provider Name / Credentials Updated September 10, 2019

Recorded as KATHERINE JOHANSEN, PA-C

NPI Profile Active December 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2016

Registered at 3807 BRENNEN ROBERT PL, GLEN ALLEN, VA 230602505 (Tel: 8045018222)

📍
Updated Business Mailing Address December 05, 2016

Registered at 3807 BRENNEN ROBERT PL, GLEN ALLEN, VA 230602505 (Tel: 8045018222)

👤
Provider Name / Credentials Updated December 05, 2016

Recorded as KATHERINE MCSWEENEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration December 05, 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: 1457895823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2016
Last Update: September 29, 2025
Sole Proprietor: No

Mailing Address

1 Embarcadero Ctr Ste 1900

San Francisco, CA 941113723

Phone: 4156586791

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.