Carly Kristin Martha Johnson, PA-C
NPI 1376135129ActiveIndividual· Physician Assistant· Edina, MN
Physician Assistant (PA-C) in Edina, Minnesota, licensed in MN, with an NPI issued in February 2021. In 2024 Medicare paid $8,985 for 76 patients, and Part D covered 178 of their prescriptions, 82% of them generic. Hologic Sales and Service, LLC reported $15.13 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1376135129 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 3, 2021 |
| Last updated in NPPES | Feb 27, 2025 |
| Certified by provider | Feb 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14497 | MN |
| Physician Assistant | 363A00000X | — | — |
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 (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 168 across 29 procedure codes |
| Paid by Medicare | $8,985 |
Part D prescriptions in 2024
| Prescriptions (claims) | 178 · 193 30-day fills |
|---|---|
| Patients | 119 |
| Total drug cost | $2,019 |
| Generic share | 82% of claims |
Industry payments (Open Payments)
- 2025$15.13 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Hologic Sales and Service, LLC | $15.13 | 1 |
What the 2025 payments were for
- Food and Beverage$15.13 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 148 physician assistants in Edina · All physician assistants in Minnesota