Kevin Earl Johnson
NPI 1114721420ActiveIndividual· Physician Assistant· Adel, IA
Physician Assistant with Mercy Clinics Inc, practicing in Adel, Iowa. Enrolled in Medicare as practitioner - physician assistant. Lists Mercyone Des Moines Medical Center as a hospital affiliation.
Overview
| NPI | 1114721420 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 3, 2025 |
| Last updated in NPPES | Nov 19, 2025 |
| Certified by provider | Nov 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 134561 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mercy Clinics IncClive, IA · 443 clinicians
Hospital affiliation
- Mercyone Des Moines Medical CenterDes Moines, IA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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