JACQUELINE JOHNSON AGNP
NPI 1003359951
Nurse Practitioner - Gerontology in Miami, FL

Q: What is Jacqueline Johnson's NPI number?

The NPI number for Jacqueline Johnson is 1003359951. It was assigned to this individual provider in the NPPES registry on November 27, 2016.

Q: What is Jacqueline Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Active since November 27, 2016PECOS EnrolledAccepts Medicare Assignment

1501 BISCAYNE BLVD, MIAMI, FL 33132(887) 787-0032(866) 427-3798 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2026, Sep 27, 2019, Nov 27, 2016 (3 updates tracked since 2016).

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About Jacqueline Johnson Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE JOHNSON AGNP (NPI 1003359951) is an individual gerontology provider in Miami, Florida, licensed in Texas (AP143029) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1003359951

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJACQUELINE JOHNSONCredential: AGNP

Location Address1501 BISCAYNE BLVDMiami, FL 33132-1449

Mailing Address317 W Rutherford StMount Vernon, TX 75457-3253 · (501) 539-9916

Phone(887) 787-0032

Fax(866) 427-3798

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 27, 2016

Last NPPES UpdateMay 25, 20263 updates tracked since enumeration

NPPES CertifiedMay 25, 2026

✔ NPI 1003359951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in TX · AP143029

Also ListedRegistered NurseTaxonomy 163W00000X · License 81-4360797 (TX)

1501 BISCAYNE BLVD, Miami, FL 33132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Johnson Agnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991137226

PECOS Enrollment IDI20191107000966

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY PLEASANT

Nurse Practitioner (Family)