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

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: August 16, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.