JESSICA JOHNSON PA
NPI 1114650033
Physician Assistant in Spearfish, SD

Active since July 07, 2022PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1420 N 10TH ST, SPEARFISH, SD 57783(605) 717-8595 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 30, 2022, Jul 7, 2022 (2 updates tracked since 2022).

About Jessica Johnson Pa NPPES

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

JESSICA JOHNSON PA (NPI 1114650033) is an individual physician assistant in Spearfish, South Dakota, licensed in South Dakota (1375) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Pella Regional Health Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114650033
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA JOHNSONCredential: PA
Location Address1420 N 10TH STSpearfish, SD 57783-1532
Mailing Address227 Evans LnSpearfish, SD 57783-1130 · (605) 641-1750
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 7, 2022
Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
NPI 1114650033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SD · 1375
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1420 N 10TH ST, Spearfish, SD 57783

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

Jessica Johnson Pa 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.

PECOS PAC ID2860878204
PECOS Enrollment IDI20240731002627
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services42 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pella Regional Health Center

Critical Access Hospitals · Pella, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number161367
Location404 Jefferson StreetPella, IA 50219 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57783 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
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.

Dietitian, Registered
1420 N 10TH ST
SPEARFISH, SD 57783
Family Medicine
1420 N 10TH ST
SPEARFISH, SD 57783
Internal Medicine
1420 N 10TH ST
SPEARFISH, SD 57783
Nurse Practitioner (Family)
1420 N 10TH ST
SPEARFISH, SD 57783
Family Medicine
1420 N 10TH ST
SPEARFISH, SD 57783
Family Medicine
1420 N 10TH ST
SPEARFISH, SD 57783
Nurse Practitioner (Family)
1420 N 10TH ST
SPEARFISH, SD 57783
Family Medicine
1420 N 10TH ST
SPEARFISH, SD 57783

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 Jessica Johnson's NPI number?

The NPI number for Jessica Johnson is 1114650033. It was assigned to this individual provider in the NPPES registry on July 7, 2022.

Where is Jessica Johnson located?

Jessica Johnson practices at 1420 N 10th St, Spearfish, SD 57783. The listed phone number is (605) 717-8595.

What is Jessica Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessica Johnson enrolled in Medicare?

Yes. Jessica 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 Jessica Johnson accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Jessica 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 Jessica Johnson affiliated with any hospitals?

According to CMS data, Jessica Johnson is affiliated with Pella Regional Health Center.

When was this NPI record last updated?

The NPPES record for Jessica Johnson was last updated on November 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.