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

Nancy Moe Johnson, PA

Individual provider Medical Physician Assistant · NPI 1417262528

Nancy Moe Johnson, PA is a Physician Assistant in Beloit, Wisconsin. Qualified in 2010, 16 years ago. Practices with Mercy Health System Corporation, a 751-clinician group and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
16
Licensed in
CO, WI
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1905 E Huebbe Pkwy Beloit Clinic
Beloit, WI 53511-1842
Phone: (608) 364-1460
Fax: (608) 363-7317
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2640-33 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3203 (CO)

Record details

NPI number1417262528
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 12, 2010
Last updated in NPPESNovember 16, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mercy Health System Corporation — 751 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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