MRS. JAZZMINA JOHNSON APRN-RX
NPI 1104242668
Nurse Practitioner - Family in Kailua, HI

Q: What is Jazzmina Johnson's NPI number?

The NPI number for Jazzmina Johnson is 1104242668. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Q: What is Jazzmina Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jazzmina Johnson was last updated on December 9, 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.

Active since March 07, 2014PECOS Enrolled

315 KUULEI RD, KAILUA, HI 96734(808) 286-0350 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2022, Jul 11, 2016 (2 updates tracked since 2016).

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About Mrs. Jazzmina Johnson Aprn-rx NPPES

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

MRS. JAZZMINA JOHNSON APRN-RX (NPI 1104242668) is an individual family provider in Kailua, Hawaii, licensed in Hawaii (1857) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104242668

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. JAZZMINA JOHNSONCredential: APRN-RX

Location Address315 KUULEI RDKailua, HI 96734-2702

Mailing Address315 Kuulei RdKailua, HI 96734-2702 · (808) 286-0350

Phone(808) 286-0350

Sole ProprietorYes

Enumeration DateMarch 7, 2014

Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration

NPPES CertifiedDecember 9, 2022

✔ NPI 1104242668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in HI · 1857

Also ListedRegistered NurseTaxonomy 163W00000X · License 70011 (HI)

315 KUULEI RD, Kailua, HI 96734

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jazzmina Johnson Aprn-rx 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.

Medicare Billing Reassignment

Medicare enrollment records show Jazzmina Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Clinical Education & Research Associates

10 mi

Specialist

677 ALA MOANA BLVD, SUITE 1001
Honolulu, HI 96813

Reassigned Medicare billing, Hawaii enrollment
74 clinicians in this Medicare group

NPI 1013966845 (808) 469-4900

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 96734 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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.

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 Jazzmina Johnson's NPI number?

The NPI number for Jazzmina Johnson is 1104242668. It was assigned to this individual provider in the NPPES registry on March 7, 2014.

Where is Jazzmina Johnson located?

Jazzmina Johnson practices at 315 Kuulei Rd, Kailua, HI 96734. The listed phone number is (808) 286-0350.

What is Jazzmina Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jazzmina Johnson enrolled in Medicare?

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

Which organization bills Medicare for Jazzmina Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jazzmina Johnson reassigns Medicare benefits to University Clinical Education & Research Associates (Honolulu, HI). 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 Jazzmina 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 Jazzmina Johnson was last updated on December 9, 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.