Tyler Johnson, PA-C
Tyler Johnson, PA-C is a Medical Physician Assistant in Excelsior, MN, registered under NPI 1003362914.
Getting there
Here is what surrounds this office in Excelsior, based on OpenStreetMap data collected Sep 21, 2026. Parking is available about 0.33 mi away at West Public Parking. The nearest transit stop is 0.24 mi away, served by 3 St. If you arrive early, there is a coffee shop 0.41 mi away.
Getting here and what is nearby
Parking 44 ft ~1 min
Coffee Starbucks 745 ft ~3 min
440 Water Street, Excelsior 55331
Mo-Su 06:00-20:00
Grocery Kowalski's Market 720 ft ~3 min
440 Water Street, Excelsior 55331
Mo-Su 06:00-22:00
Restaurant Miyabi Sushi & Asian Bistro 868 ft ~4 min
400 Water Street, Excelsior 55331
Su-Th 12:00-21:00, Fr-Sa 12:00-22:00
Transit George St 872 ft ~4 min
Transit George St 975 ft ~4 min
Transit 3 St 0.24 mi ~5 min
Restaurant The Suburban 0.27 mi ~6 min
Restaurant Olive's Fresh Pizza Bar 0.29 mi ~6 min
287 Water Street, Excelsior 55331
Parking East Public Parking 0.31 mi ~7 min
230 East Drive, Excelsior 55331
Coffee The Lobby 0.33 mi ~7 min
Parking West Public Parking 0.33 mi ~7 min
230 West Drive, Excelsior 55331
Coffee Dunn Bros Coffee 0.41 mi ~9 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 085005949 | IL | Medical Physician Assistant primary |
This provider holds licence 085005949 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 2668734369
- Enrollment ID
- I20190315001844
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Medical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003362914 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 31, 2016 |
| Last updated | May 7, 2019 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | PA-C |
| Practice address |
675 WATER ST Excelsior, MN 55331 (952) 906-7855 |
| Mailing address |
676 N SAINT CLAIR ST SUITE 1600 Chicago, IL 60611 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 3 | 6 | 2 | 9 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 6 | 6 | 4 | 9 | 2 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.