JENNIFER JOHNSON FNP-C
NPI 1134974686
Nurse Practitioner - Family in Jackson, MS

Q: What is Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1134974686. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Q: What is Jennifer 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 Jennifer Johnson was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 April 18, 2024PECOS EnrolledAccepts Medicare Assignment

1190 N STATE ST STE 502, JACKSON, MS 39202(601) 944-1781(601) 353-0439 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2025, Nov 4, 2024, Sep 3, 2024 and 1 more (4 updates tracked since 2024).

On this page

About Jennifer Johnson Fnp-c NPPES

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

JENNIFER JOHNSON FNP-C (NPI 1134974686) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (906620) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and maintains a secondary practice location in Yazoo City.

NPPES Registry Identity

NPI1134974686

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER JOHNSONCredential: FNP-C

Location Address1190 N STATE ST STE 502Jackson, MS 39202-2414

Mailing Address591 Blue Ruin RdLouise, MS 39097-3100

Phone(601) 944-1781

Fax(601) 353-0439

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 18, 2024

Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1134974686 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 MS · 906620

Also ListedNurse PractitionerTaxonomy 363L00000X · License 906620 (MS)

1190 N STATE ST STE 502, Jackson, MS 39202

Open in Google Maps ↗

Secondary Practice Location 1

Location 1230 Wyeth LnYazoo City, MS 39194-4653 · Phone (662) 746-8962 · Fax (662) 746-8964

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Jennifer Johnson Fnp-c 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 ID840721379

PECOS Enrollment IDI20241008001444

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.

Hospital Affiliations CMS Care Compare 2

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

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Baptist Medical Center-Yazoo

Critical Access Hospitals · Yazoo City, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number251313

Location823 Grand AvenueYazoo City, MS 39194 · Yazoo County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

Other Providers at the Same Location NPPES 16

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

SETH COLTON WARREN MD

Surgery