Ryan Johnson
NPI 1578371241 · Physician Assistant · Peoria, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ryan Johnson is a Physician Assistant provider in Peoria, IL (NPI 1578371241).
Provider details
- NPI number
- 1578371241
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 3333 N Seminary StGalesburg, IL 61401-1251Phone: (309) 344-3161
- 1100 E Norris DrOttawa, IL 61350-1604Phone: (815) 433-3100
- 2500 W Reynolds StPontiac, IL 61764-9784Phone: (815) 842-2828
Registry dates
- Enumerated
- 2024-12-26
- Last updated
- 2024-12-26
- Certified
- 2024-12-26
Frequently asked questions
- What is Ryan Johnson's NPI number?
- Ryan Johnson's National Provider Identifier (NPI) is 1578371241, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ryan Johnson's specialty?
- Ryan Johnson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ryan Johnson located?
- Ryan Johnson's practice location on file with NPPES is 530 Ne Glen Oak Ave, Peoria, IL 61637-0001.
- What is Ryan Johnson's phone number?
- The practice phone number listed in the NPPES registry for Ryan Johnson is (309) 655-2000.
- Does Ryan Johnson accept Medicare?
- Ryan Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ryan Johnson's NPI active?
- Yes — Ryan Johnson's NPI (1578371241) is active in the NPPES registry as of the last update on 2024-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.