DR. JEANNINE S JOHNSON M.D.
NPI 1083715999
Pediatrics in Hillsboro, OR
About Dr. Jeannine S Johnson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEANNINE S JOHNSON M.D. (NPI 1083715999) is an individual pediatrics provider in Hillsboro, Oregon, licensed in Oregon (MD22433) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeannine S Johnson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeannine Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Beaverton, OR 97005
- Reassigned Medicare billing, Oregon and Washington enrollments
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- Also billed through NPI 1184786527 (Washington)
- 3,207 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 97124 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HILLSBORO, OR 97124
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 Jeannine Johnson's NPI number?
The NPI number for Jeannine Johnson is 1083715999. It was assigned to this individual provider in the NPPES registry on September 25, 2006. The provider is also known as Jeannine S Brown.
Where is Jeannine Johnson located?
Jeannine Johnson practices at 19400 NW Evergreen Pwy, Hillsboro, OR 97124. The listed phone number is (503) 645-2762.
What is Jeannine Johnson's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jeannine Johnson enrolled in Medicare?
Yes. Jeannine Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeannine Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeannine Johnson reassigns Medicare benefits to Beaverton Rehab & Specialty Care, LLC (Beaverton, OR). The 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 Jeannine Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeannine Johnson accept?
Health plans from Kaiser Permanente list Jeannine Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jeannine Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Jeannine S Johnson, M.D. · NPI 1083715999
Pediatrics physician in Hillsboro, Oregon. Individual provider, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1083715999 (Entity type: Individual)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD22433 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 19400 NW EVERGREEN PWY, Hillsboro, OR 97124
- **Phone:** (503) 645-2762
## 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:** Beaverton Rehab & Specialty Care, LLC (NPI 1366469330, Beaverton, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1083715999) · Data from the CMS NPPES public registry.