JASMINE MARIE JOHNSON PA-C
NPI 1558292813
Physician Assistant in Cloverdale, IN

Q: What is Jasmine Johnson's NPI number?

The NPI number for Jasmine Johnson is 1558292813. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Q: What is Jasmine Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jasmine Johnson was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 26, 2026PECOS Enrolled

51 E MARKET ST, CLOVERDALE, IN 46120(765) 795-4242 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jasmine Marie Johnson Pa-c NPPES

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

JASMINE MARIE JOHNSON PA-C (NPI 1558292813) is an individual physician assistant in Cloverdale, Indiana and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1558292813

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJASMINE MARIE JOHNSONCredential: PA-C

Location Address51 E MARKET STCloverdale, IN 46120-8427

Mailing Address14 Maryvale CtMooresville, IN 46158-1227 · (317) 220-7973

Phone(765) 795-4242

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 26, 2026

NPPES CertifiedMay 26, 2026

✔ NPI 1558292813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

51 E MARKET ST, Cloverdale, IN 46120

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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 (PECOS)

Jasmine Marie Johnson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981160074

PECOS Enrollment IDI20260729001917

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 46120 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.

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.

MICHAEL PAINTER

Nurse Practitioner (Family)