JENNY LYNNE JOHNSON
NPI 1013491810
Nurse Practitioner - Pediatrics in Los Angeles, CA

Q: 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.

Q: What is Jenny Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: 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 7 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.

Active since September 18, 2018PECOS Enrolled

4650 W SUNSET BLVD # 54, LOS ANGELES, CA 90027(323) 361-8185 Get Directions Write a Review

NPPES record last updated: September 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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

NPI1013491810

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJENNY LYNNE JOHNSON

Location Address4650 W SUNSET BLVD # 54Los Angeles, CA 90027-6062

Mailing Address11929 Venice Blvd Apt 303Los Angeles, CA 90066-3938 · (248) 514-6032

Phone(323) 361-8185

Sole ProprietorNo

Enumeration DateSeptember 18, 2018

✔ NPI 1013491810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95009984

4650 W SUNSET BLVD # 54, Los Angeles, CA 90027

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Lynne Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Other Providers at the Same Location NPPES 16

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

JACQUELYN KEEGAN NP

Nurse Practitioner (Pediatrics)