JENNY LYNNE JOHNSON
NPI 1013491810
Nurse Practitioner - Pediatrics in Los Angeles, CA
About Jenny Lynne Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY LYNNE JOHNSON (NPI 1013491810) is an individual pediatrics provider in Los Angeles, California, licensed in California (95009984) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenny Lynne Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jenny Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 220 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jenny Johnson's NPI number?
The NPI number for Jenny Johnson is 1013491810. It was assigned to this individual provider in the NPPES registry on September 18, 2018.
Where is Jenny Johnson located?
Jenny Johnson practices at 4650 W Sunset Blvd # 54, Los Angeles, CA 90027. The listed phone number is (323) 361-8185.
What is Jenny Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jenny Johnson enrolled in Medicare?
Yes. Jenny Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jenny Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Johnson reassigns Medicare benefits to 2 organizations: Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA) and Memorial Pediatric Group (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenny Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jenny Johnson was last updated on September 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jenny Lynne Johnson · NPI 1013491810
Pediatrics physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since September 18, 2018.
## Identity
- **NPI:** 1013491810 (Entity type: Individual)
- **Enumerated:** September 18, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 95009984 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4650 W SUNSET BLVD # 54, Los Angeles, CA 90027-6062
- **Phone:** (323) 361-8185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA); Memorial Pediatric Group (NPI 1750352381, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 18, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1013491810) · Data from the CMS NPPES public registry.