NPI Details
MISS Mischelle K Johnson, PAC is a physician assistant in Phoenix, AZ with 26 years of experience. The provider is 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. MISS Mischelle K Johnson, PAC NPI is 1801975982. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2000
The provider's business location address is:
16515 S. 40TH ST, BLDG 9, SUITE 143
PHOENIX, AZ
ZIP 85048
Phone: (480) 712-8319
Fax: (480) 712-1305
The NPI 1801975982 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Floweramniopatch, per square centimeter (HCPCS:Q4178)
- Palingen or palingen xplus, per square centimeter (HCPCS:Q4173)
- Therapy procedure using ultrasound (HCPCS:97610)
- Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)
- Removal of inflamed or infected skin, up to 10% of body surface (HCPCS:11000)
- Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)
The enumeration date for this NPI number is 11/2/2006 and was last updated on 11/2/2022.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 146D00000X | Personal Emergency Response Attendant | | 2421 | ARIZONA | No |
| 2 | 363A00000X | Physician Assistant | | | | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 280764 | OTHER | ARIZONA | LICENSE |
| 2 | F08220175 | OTHER | TEXAS | AANPCB |
| 3 | 559346 | MEDICAID | TEXAS | |
| 4 | PA61331068 | OTHER | WASHINGTON | LICENSE |
| 5 | PA9116211 | OTHER | FLORIDA | LICENSE |
