Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Johnson

Individual provider Physician Assistant · NPI 1720408172

Kelly Johnson is a Physician Assistant in Aspen, Colorado. Qualified in 2015, 11 years ago. Practices with Steadman Clinic Professional LLC, a 78-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Washington.

Years since qualifying
11
Licensed in
CO, WA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

401 Castle Creek Rd Ste 2100
Aspen, CO 81611-1159
Phone: (970) 476-1100
Fax: (970) 479-5835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 301 S 320th St, Federal Way, WA 98003-5200 — (253) 874-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0004662 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 60610430 (WA)

Record details

NPI number1720408172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 24, 2014
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Steadman Clinic Professional Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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