JAZMIN NICOLE JOHNSON DMD
NPI 1487542353
Dentist in Galesburg, IL

Q: What is Jazmin Johnson's NPI number?

The NPI number for Jazmin Johnson is 1487542353. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Q: What is Jazmin Johnson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jazmin Johnson was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 June 27, 2025PECOS Enrolled

1361 W FREMONT ST, GALESBURG, IL 61401(309) 344-2224 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jazmin Nicole Johnson Dmd NPPES

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

JAZMIN NICOLE JOHNSON DMD (NPI 1487542353) is an individual dentist in Galesburg, Illinois, licensed in Illinois (019.036186) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487542353

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJAZMIN NICOLE JOHNSONCredential: DMD

Location Address1361 W FREMONT STGalesburg, IL 61401-2436

Mailing Address1361 W Fremont StGalesburg, IL 61401-2436

Phone(309) 344-2224

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 27, 2025

NPPES CertifiedJune 27, 2025

✔ NPI 1487542353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.036186

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1361 W FREMONT ST, Galesburg, IL 61401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware 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 (PECOS)

Jazmin Nicole Johnson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880183938

PECOS Enrollment IDI20251029001089

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 12

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

COUNTY OF KNOX

Public Health or Welfare