1. Home
  2. Directory
  3. Pennsylvania
  4. Paoli
  5. Internal Medicine
  6. NPI Profile

JESSE ALEXANDER JOHNSON JR.
NPI 1235794322
Internal Medicine in Paoli, PA

Active since May 05, 2019PECOS EnrolledAccepts Medicare Assignment
255 W LANCASTER AVE, PAOLI, PA 19301(484) 565-1510 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Nov 21, 2024, Jun 17, 2019 and 1 more (4 updates tracked since 2019).

About Jesse Alexander Johnson Jr. NPPES

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

JESSE ALEXANDER JOHNSON JR. (NPI 1235794322) is an individual internal medicine provider in Paoli, Pennsylvania, licensed in Pennsylvania (MD475484) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1235794322
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJESSE ALEXANDER JOHNSON JR.
Location Address255 W LANCASTER AVEPaoli, PA 19301-1763
Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336
Phone(484) 565-1510
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2019
Enumeration DateMay 5, 2019
Last NPPES UpdateFebruary 18, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1235794322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD475484
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD475484 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
255 W LANCASTER AVE, Paoli, PA 19301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1833 Chestnut St Ste 220Philadelphia, PA 19107-4405 · Phone (215) 955-8465

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Jesse Alexander Johnson Jr. 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 ID7416283965
PECOS Enrollment IDI20241118002546, I20250828002978
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

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

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19301 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 20

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

TALIA LAGRAVINESE CRNP
Nurse Practitioner (Acute Care)
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1510
EMILY JANE DAMICO
Physician Assistant
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (215) 429-1003
MRS. LYNN B WOLFF CRNP
Nurse Practitioner (Acute Care)
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1600
MARY ANITA DILLOWAY MD
Pediatrics
255 W LANCASTER AVE, MOB 1 STE 101
PAOLI, PA 19301
Chester County (610) 644-9380
DR. SCOTT A. OLEX D.O.
Hospitalist
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1510
DR. JANIS ZVARGULIS M.D.
Anesthesiology
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (484) 565-1020
PAOLI PEDIATRICS PC
Pediatrics
255 W LANCASTER AVE, MOB 1 SUITE 101
PAOLI, PA 19301
Chester County (610) 644-9380
ADVOCARE, LLC
Hospitalist
255 W LANCASTER AVE
PAOLI, PA 19301
Chester County (610) 308-5755

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 Jesse Johnson's NPI number?

The NPI number for Jesse Johnson is 1235794322. It was assigned to this individual provider in the NPPES registry on May 5, 2019.

Where is Jesse Johnson located?

Jesse Johnson practices at 255 W Lancaster Ave, Paoli, PA 19301. The listed phone number is (484) 565-1510.

What is Jesse Johnson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jesse Johnson enrolled in Medicare?

Yes. Jesse 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 Jesse Johnson accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Jesse 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 Jesse Johnson affiliated with any hospitals?

According to CMS data, Jesse Johnson is affiliated with Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Jesse Johnson was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.