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NPI · 1710578117 · NPPES-sourced

Mr. Parker Johnson PA-C

ActivePhysician Assistant
NPI Number
1710578117
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(309) 663-6461
License IL · 085008197
Last Updated
Enumerated
Primary practice addressIL · 61704-8112
1111 Trinity Ln Ste 111Bloomington, IL 61704-8112
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About this NPIWhat this record shows.

NPI 1710578117 is registered to Mr. Parker Johnson PA-C, a Physician Assistant practising at 1111 Trinity Ln Ste 111 in Bloomington, Illinois. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mr. Parker Johnson PA-C has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 4,915 Physician Assistant providers on file in Illinois.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mr. Parker Johnson PA-C accepts. To confirm in-network status with your specific health plan, contact Mr. Parker Johnson PA-C directly at (309) 663-6461.

Frequently asked

Yes. NPI 1710578117 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (309) 663-6461.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mr. Parker Johnson PA-C is a Type-1 individual NPI.

As of the latest monthly CMS NPPES snapshot, 4,915 Physician Assistant providers are registered in Illinois, and Mr. Parker Johnson PA-C is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
Partneri
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2 records · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in Illinois.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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