DR. JACQUELINE MARIE JOHNSON D.O.
NPI 1083814099
Family Medicine in Myrtle Creek, OR
About Dr. Jacqueline Marie Johnson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACQUELINE MARIE JOHNSON D.O. (NPI 1083814099) is an individual family medicine provider in Myrtle Creek, Oregon, licensed in Oregon (DO161555) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2006).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Dr. Jacqueline Marie Johnson D.o. 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Three Rivers Medical Center
Acute Care Hospitals · Grants Pass, ORMercy Medical Center
Acute Care Hospitals · Roseburg, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MYRTLE CREEK, OR 97457
MYRTLE CREEK, OR 97457
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 Jacqueline Johnson's NPI number?
The NPI number for Jacqueline Johnson is 1083814099. It was assigned to this individual provider in the NPPES registry on July 19, 2007. The provider is also known as Jacqueline Varnell.
Where is Jacqueline Johnson located?
Jacqueline Johnson practices at 145 NE Broadway St, Myrtle Creek, OR 97457. The listed phone number is (541) 677-7200.
What is Jacqueline Johnson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacqueline Johnson enrolled in Medicare?
Yes. Jacqueline Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jacqueline Johnson accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jacqueline 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.
Is Jacqueline Johnson affiliated with any hospitals?
According to CMS data, Jacqueline Johnson is affiliated with Asante Three Rivers Medical Center and Mercy Medical Center.
When was this NPI record last updated?
The NPPES record for Jacqueline Johnson was last updated on August 9, 2023. 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.
# Dr. Jacqueline Marie Johnson, D.O. · NPI 1083814099
Family Medicine physician in Myrtle Creek, Oregon. Individual provider, active in the CMS NPPES registry since July 19, 2007.
## Identity
- **NPI:** 1083814099 (Entity type: Individual)
- **Enumerated:** July 19, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO161555 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 145 NE BROADWAY ST, Myrtle Creek, OR 97457-9039
- **Phone:** (541) 677-7200 · **Fax:** (541) 229-3309
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2006
## Record status
- **NPPES last updated:** August 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1083814099) · Data from the CMS NPPES public registry.