JACQUELINE JOHNSON PA-C
NPI 1356617021
Physician Assistant in Michigan City, IN

Q: What is Jacqueline Johnson's NPI number?

The NPI number for Jacqueline Johnson is 1356617021. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Q: What is Jacqueline Johnson's specialty?

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

Active since March 28, 2012PECOS EnrolledAccepts Medicare Assignment

99.12/100

CMS Quality Rating

8955 W 400 N, MICHIGAN CITY, IN 46360(219) 861-5800(219) 861-5543 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2026, Dec 12, 2025, Jul 20, 2022 (3 updates tracked since 2022).

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About Jacqueline Johnson Pa-c NPPES

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

JACQUELINE JOHNSON PA-C (NPI 1356617021) is an individual physician assistant in Michigan City, Indiana, licensed in Indiana (10005083A) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1356617021

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACQUELINE JOHNSONCredential: PA-C

Location Address8955 W 400 NMichigan City, IN 46360-9330

Mailing AddressPo Box 781076Detroit, MI 48278-1008 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 861-5800

Fax(219) 861-5543

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 28, 2012

Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2026

✔ NPI 1356617021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IN · 10005083A✔ Licensed in CA · PA22120

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.

8955 W 400 N, Michigan City, IN 46360

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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 and accepts Medicare assignment

Jacqueline Johnson Pa-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 ID4880817394

PECOS Enrollment IDI20140529002402, I20251223000567

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.

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150015

Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

99.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.23

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

ALLISON ELISE KINDER ANP-BC

Nurse Practitioner