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JEANELLE JOHNSON PA-C
NPI 1043971708
Physician Assistant - Medical in Norfolk, VA

Active since January 05, 2022PECOS Enrolled
96.68/100
CMS Quality Rating
6379 CENTER DR, NORFOLK, VA 23502(757) 467-4200 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2022, Aug 9, 2022, Jan 5, 2022 (3 updates tracked since 2022).

About Jeanelle Johnson Pa-c NPPES

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

JEANELLE JOHNSON PA-C (NPI 1043971708) is an individual medical provider in Norfolk, Virginia, licensed in Virginia (0110008662) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043971708
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJEANELLE JOHNSONCredential: PA-C
Location Address6379 CENTER DRNorfolk, VA 23502-4102
Mailing Address204 W 22nd St Apt 109Norfolk, VA 23517-2208 · (469) 585-7438
Phone(757) 467-4200
Sole ProprietorYes
Enumeration DateJanuary 5, 2022
Last NPPES UpdateAugust 19, 20223 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1043971708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110008662
6379 CENTER DR, Norfolk, VA 23502
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanelle Johnson Pa-c 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services33 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services17 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.71
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

EMERGENCY PHYSICIANS OF TIDEWATER
Emergency Medicine
6379 CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 467-4200
KARL AUGUST PIERSING PA-C
Physician Assistant
6379 CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 467-4200
GRACE CHRISTINE CARLO
Physician Assistant
6379 CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 467-4200
GRACE KANAAN
Physician Assistant
6379 CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 467-4200
EMILY BRYANT COLE PA
Physician Assistant (Medical)
6379 CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 467-4200
DR. MEGAN SPURRELL WINNING MD
Emergency Medicine
6379 CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 467-4200
HAILEY MARIE CASH
Physician Assistant
6379 CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 467-4200
ALEXANDRA MARIE SPIVEY PA-C
Physician Assistant
6379 CENTER DR
NORFOLK, VA 23502
Norfolk City (757) 467-4200

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 Jeanelle Johnson's NPI number?

The NPI number for Jeanelle Johnson is 1043971708. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Jeanelle Johnson located?

Jeanelle Johnson practices at 6379 Center Dr, Norfolk, VA 23502. The listed phone number is (757) 467-4200.

What is Jeanelle Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jeanelle Johnson enrolled in Medicare?

Yes. Jeanelle Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanelle Johnson was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.