Connor Lee Johnson, PA - Medicare Physician Assistant in Provo, UT

Connor Lee Johnson, PA is a medicare enrolled "Physician Assistant" in Provo, Utah. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. His current practice location is 395 W Cougar Blvd, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 357-7081.

Connor Lee Johnson is licensed to practice in Utah (license number 14271190-1206) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1982443065.

Contact Information

Connor Lee Johnson, PA
395 W Cougar Blvd,
Provo, UT 84604-3311
(801) 357-7081
Not Available

Map and Direction




Provider's Profile

Full NameConnor Lee Johnson
GenderMale
SpecialityPhysician Assistant
Experience1 Years
Location395 W Cougar Blvd, Provo, Utah
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Connor Lee Johnson graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1982443065
  • Provider Enumeration Date: 05/20/2024
  • Last Update Date: 02/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5092291005
  • Enrollment ID: I20260109000705

Medical Identifiers

Medical identifiers for Connor Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982443065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 14271190-1206 (Utah)Primary
363AM0700XPhysician Assistant - Medical 14271190-1206 (Utah)Secondary
363AM0700XPhysician Assistant - Medical PA.0009589 (Colorado)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Connor Lee Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Connor Lee Johnson, PA
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: () -
Connor Lee Johnson, PA
395 W Cougar Blvd,
Provo, UT 84604-3311

Ph: (801) 357-7081

Reviews and Comments


Physician Assistant Nurses in Provo, UT

Kelly Marie Daly-wolfe, PA-C, RDN
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 750 N 200 W, Provo, UT 84601
Phone: 801-429-2000    
John Harold Ball, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Cougar Blvd Ste 401, Provo, UT 84604
Phone: 801-357-7546    
Devin W Christensen, PA-S2
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Medicare: Accepting Medicare Assignments
Practice Location: 1360 S 760 W, Provo, UT 84601
Phone: 801-471-7998    
James Scott Arregui, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Cougar Blvd Ste 503, Provo, UT 84604
Phone: 801-357-7081    
Robert Rowe,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 589 S State St, Provo, UT 84606
Phone: 801-429-2000    
Michael Anderson, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 500 W Ste 101, Provo, UT 84604
Phone: 801-373-4366    Fax: 801-418-0941
Stacie Glass, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Cougar Blvd Ste 602, Provo, UT 84604
Phone: 801-357-0570    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.