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JESSICA JOHNSON
NPI 1124633904
Physician Assistant - Medical in Colorado Springs, CO

Active since September 09, 2020PECOS Enrolled
421 S TEJON ST STE 250, COLORADO SPRINGS, CO 80903(719) 623-3068 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 23, 2022, Sep 15, 2020, Sep 9, 2020 (3 updates tracked since 2020).

About Jessica Johnson NPPES

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

JESSICA JOHNSON (NPI 1124633904) is an individual medical provider in Colorado Springs, Colorado, licensed in Colorado (PA.0006363) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Colorado Springs.

NPPES Registry Identity

NPI1124633904
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA JOHNSON
Location Address421 S TEJON ST STE 250Colorado Springs, CO 80903-2139
Mailing Address421 S Tejon St Ste 250Colorado Springs, CO 80903-2139 · (719) 623-3068
Phone(719) 623-3068
Sole ProprietorNo
Enumeration DateSeptember 9, 2020
Last NPPES UpdateDecember 23, 20223 updates tracked since enumeration
NPPES CertifiedDecember 23, 2022
✔ NPI 1124633904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · PA.0006363
421 S TEJON ST STE 250, Colorado Springs, CO 80903
Open in Google Maps ↗

Secondary Practice Location 1

Location 14190 E Woodmen Rd Ste 100Colorado Springs, CO 80920-8075 · Phone (719) 632-4455

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Johnson 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$73.97 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$34.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW DUQUE MA, BCBA
Behavior Analyst
421 S TEJON ST STE 250
COLORADO SPRINGS, CO 80903
El Paso County (719) 323-3349
DR. ALISON MICHELLE FRY M.D.
Family Medicine
421 S TEJON ST STE 250
COLORADO SPRINGS, CO 80903
El Paso County (719) 623-3068
DR. BRIAN A ARTZBERGER D O
Family Medicine
421 S TEJON ST STE 250
COLORADO SPRINGS, CO 80903
El Paso County (719) 623-3068
PATRICIA J. RAND M.D.
Family Medicine
421 S TEJON ST STE 250
COLORADO SPRINGS, CO 80903
El Paso County (888) 663-6331
CAROLINE H SUDBAY P.A.
Physician Assistant
421 S TEJON ST STE 250
COLORADO SPRINGS, CO 80903
El Paso County (719) 623-3068

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 1124633904. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Jessica Johnson located?

Jessica Johnson practices at 421 S Tejon St Ste 250, Colorado Springs, CO 80903. The listed phone number is (719) 623-3068.

What is Jessica Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Johnson was last updated on December 23, 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.