Connor Lee Johnson, PA
NPI 1982443065ActiveIndividual· Physician Assistant· Provo, UT
Physician Assistant (PA) in Provo, Utah, licensed in UT and CO, with an NPI issued in May 2024. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1982443065 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | May 20, 2024 |
| Last updated in NPPES | Feb 24, 2026 |
| Certified by provider | Feb 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14271190-1206 | UT |
| Physician Assistant, Medical | 363AM0700X | 14271190-1206 | UT |
| Physician Assistant, Medical | 363AM0700X | PA.0009589 | CO |
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 (UT) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
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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