Patrick Alan Johnson, RD, PA-C
NPI 1225380629ActiveIndividual· Physician Assistant· Gaylord, MI
Physician Assistant (RD, PA-C) in Gaylord, Michigan, trained at University of Washington School of Medicine (class of 2024). Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1225380629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, PA-C |
| Sole proprietor | No |
| NPI issued | Oct 9, 2012 |
| Last updated in NPPES | May 19, 2025 |
| Certified by provider | May 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601012837 | MI |
| Dietitian, Registered, Nutrition, Metabolic | 133VN1006X | DI60312524 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|
Education and affiliations
| Medical school | University of Washington School of Medicine |
|---|---|
| Graduation year | 2024 |
| Medicare specialty | Physician Assistant |
Medical groups
- North Michigan Physician Services PCCharlevoix, MI · 67 clinicians
- Otsego Physician Services PCGaylord, MI · 32 clinicians
Hospital affiliations
- Charlevoix Area HospitalCharlevoix, MI
- Kalkaska Memorial Health CenterKalkaska, MI
- Munson Healthcare Grayling HospitalGrayling, MI
- Munson Healthcare Otsego Memorial HospitalGaylord, MI
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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All 24 physician assistants in Gaylord · All physician assistants in Michigan