Individual provider

Kenneth Johnson, PA-C

Physician Assistant Medicare enrolled

Kenneth Johnson, PA-C is a Physician Assistant in Anchorage, AK, registered under NPI 1679597868.

Getting there

The practice address on file is 4315 DIPLOMACY DR ATTN: SHERRY REEDY, Anchorage, AK 99508. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4315 DIPLOMACY DR ATTN: SHERRY REEDY, Anchorage, AK 99508 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
18751 CA Physician Assistant primary
245 AK Physician Assistant

Licences are recorded in 2 states: CA, AK. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Physician Assistant
PAC ID
6204114242
Enrollment ID
I20250618000796

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - 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.

Licensed in 2 states

This provider holds licences in 2 states: Alaska and California. The practice address on file is in Anchorage, AK, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AK Alaska practice address
Licence
245
Specialty
Physician Assistant
Verify with the AK board →
CA California
Licence
18751
Specialty
Physician Assistant
Verify with the CA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Physician Assistant covers

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. NUCC Health Care Provider Taxonomy, code 363A00000X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant 18751 CA primary
363A00000X Physician Assistant 245 AK

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.

NPI1679597868 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 27, 2006
Last updatedOct 11, 2021
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 4315 DIPLOMACY DR
ATTN: SHERRY REEDY
Anchorage, AK 99508
(907) 729-3971
Fax (907) 729-1542
The last update on file is Oct 11, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1679597868 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
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 6 7 9 5 9 7 8 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 5 9 1 9 5 8 3

Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8

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.

Common questions

What is NPI number 1679597868?
NPI 1679597868 is the National Provider Identifier assigned to Kenneth Johnson, PA-C in Anchorage, AK. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Physician Assistant cover?
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In…
How do I contact Kenneth Johnson, PA-C?
The phone number on file with NPPES is (907) 729-3971, last updated Oct 11, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kenneth Johnson, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1679597868 a valid number?
Yes. 1679597868 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.