Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174589782 Individual Practitioner Female Practitioner

Desiree L Johnson , PA-C

Physician Assistant • Fort Campbell, KY

Professional Overview & Biography Verified Profile Summary

Desiree Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Fort Campbell, KY. Practice services are available at 650 JOEL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

650 Joel Dr

Fort Campbell, KY 422235318

Telephone 2707988727
Associated Practice Facility / Clinic
🏢 Ach Blanchfield-Ft Campbell Facility NPI 1417044702

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Campbell, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
133 Specialists

Practicing in Fort Campbell, KY (1973 Statewide)

Telehealth Adoption Rate
2.3% 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

CMS Verified: 2023-08-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA04614

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 - Surgical

NUCC Taxonomy Code: 363AS0400X

State License TX PA04614

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Patricia Gazza

Social Worker - Clinical

NPI 1013053990
Gregory Hershey

Physician Assistant

NPI 1033255914
NPI 1043068588

Doctor of Optometry

Mark Siebe , PA-C

Family Medicine

NPI 1053801886

Physician Assistant (Certified)

Dr. Kristen Hunkin , PhD, PMHNP-BC, FNP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053807131

Doctor of Philosophy (Ph.D.), Psychiatric-Mental Health Nurse Practitioner (Board Certified), Family Nurse Practitioner (Certified)

Joel Price , LCSW

Social Worker - Clinical

NPI 1053888602

Licensed Clinical Social Worker

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 25, 2020

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318 (Tel: 2707988727)

📍
Updated Business Mailing Address February 25, 2020

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318 (Tel: 2707798187)

NPI Profile Active April 23, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2008

Registered at 2727 W HOLCOMBE BLVD, HOUSTON, TX 770251669 (Tel: 7134420000)

📍
Updated Business Mailing Address April 23, 2008

Registered at 2727 W HOLCOMBE BLVD, HOUSTON, TX 770251669 (Tel: 7134420000)

👤
Provider Name / Credentials Updated April 23, 2008

Recorded as DESIREE JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2008

Physician Assistant (License #PA04614 in TX)

🟢
Initial NPI Registration & Enumeration April 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Desiree Johnson. Be the first to share your experience!

Sign in to leave a review for Desiree Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1174589782
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2006
Last Update: January 22, 2024
Sole Proprietor: No

Mailing Address

650 Joel Dr

Fort Campbell, KY 422235318

Phone: 2707798187

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.