Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710345483 Individual Practitioner Male Practitioner

Russell Johnson

Physician Assistant • Milwaukee, WI

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Russell Johnson is a registered Physician Assistant practitioner in Milwaukee, WI. With approximately 11 years of clinical practice since completing medical education in 2015, Russell Johnson provides healthcare services at the registered practice location at 2801 W KINNICKINNIC RIVER PKWY STE 370.

Russell Johnson is affiliated with Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2801 W Kinnickinnic River Pkwy Ste 370

Milwaukee, WI 532153678

Telephone 4146497900
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Milwaukee, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +0.9 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
824 Specialists

Practicing in Milwaukee, WI (3517 Statewide)

Telehealth Adoption Rate
11.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (11 Years) 11 Yrs
Milwaukee Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
67 61 $620.00 $99.30

Medical Specialties & State Licenses

CMS Verified: 2025-06-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 4642

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100088079 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

3003 W Good Hope Rd, Milwaukee, WI 532092042

Phone: 4143523100

Aurora Advanced Healthcare, Inc.

2900 W Oklahoma Ave, Milwaukee, WI 532154330

Phone: 4146496000

Aurora Advanced Healthcare, Inc.

12203 N Corporate Pkwy, Mequon, WI 530923388

Phone: 2623878200

Practice Associates & Co-Workers

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

26 Associated Practitioners
Dr. Brent Witten , MD

Orthopaedic Surgery

NPI 1013270644

Doctor of Medicine (M.D.)

Meng-Chun Wang , PT, CHT

Physical Therapist

NPI 1023032299

Physical Therapist, Certified Hand Therapist

Anna Tai Malone , NP

Nurse Practitioner

NPI 1033892237

Nurse Practitioner

Dr. Michael Iossi , MD

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1164556684

Doctor of Medicine (M.D.)

Katelyn Stange , NP

Nurse Practitioner

NPI 1255688396

Nurse Practitioner

Madeline Tennant

Physician Assistant

NPI 1255823233

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Business Mailing Address June 03, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Practice Location May 17, 2019

Registered at 2801 W KINNICKINNIC RIVER PKWY STE 370, MILWAUKEE, WI 532153678 (Tel: 4146497900)

📍
Updated Business Mailing Address May 17, 2019

Registered at 2801 W KINNICKINNIC RIVER PKWY STE 370, MILWAUKEE, WI 532153678 (Tel: 4146497900)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2019

Physician Assistant (License #4642 in WI)

NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2017

Registered at 2923 N CALIFORNIA AVE, SUITE 300, CHICAGO, IL 606187702 (Tel: 7737779900)

📍
Updated Business Mailing Address March 14, 2017

Registered at 900 RAND RD, SUITE 300, DES PLAINES, IL 600162359 (Tel: 8473243976)

👤
Provider Name / Credentials Updated March 14, 2017

Recorded as RUSSELL JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Physician Assistant

NPI Profile Active February 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2016

Registered at 9000 WAUKEGAN RD, SUITE 200, MORTON GROVE, IL 600532127 (Tel: 8473753000)

📍
Updated Business Mailing Address February 09, 2016

Registered at 900 RAND RD, SUITE 300, DES PLAINES, IL 600162359 (Tel: 8473243976)

👤
Provider Name / Credentials Updated February 09, 2016

Recorded as RUSSELL JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 09, 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: 1710345483
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2016
Last Update: June 03, 2025
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.