JORDAN L JOHNSON DNP
NPI 1598244394
Nurse Practitioner - Adult Health in Jonesboro, AR

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment
69.49/100
CMS Quality Rating
4802 E JOHNSON AVE, JONESBORO, AR 72405(870) 936-8000(870) 934-3630 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 17, 2026, Aug 13, 2018 (2 updates tracked since 2018).

About Jordan L Johnson Dnp NPPES

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

JORDAN L JOHNSON DNP (NPI 1598244394) is an individual adult health provider in Jonesboro, Arkansas, licensed in Arkansas (A005648) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2016).

NPPES Registry Identity

NPI1598244394
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJORDAN L JOHNSONCredential: DNP
Location Address4802 E JOHNSON AVEJonesboro, AR 72405-8413
Mailing AddressPo Box 1960Jonesboro, AR 72403-1960 · (870) 936-8000 · Fax (870) 934-3630
Fax(870) 934-3630
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2016
Enumeration DateAugust 13, 2018
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1598244394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in AR · A005648
4802 E JOHNSON AVE, Jonesboro, AR 72405

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

Jordan L Johnson Dnp 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 ID7810240918
PECOS Enrollment IDI20181018001964
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 72405 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

69.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.9
Promoting Interoperability80
Improvement Activities40
Cost59.08

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers34 claims34 services$17.60 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers43 claims43 services$89.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
4802 E JOHNSON AVE
JONESBORO, AR 72405
Nurse Practitioner (Family)
4802 E JOHNSON AVE
JONESBORO, AR 72405
Clinical Nurse Specialist
4802 E JOHNSON AVE
JONESBORO, AR 72405
Nurse Practitioner (Family)
4802 E JOHNSON AVE
JONESBORO, AR 72405
Social Worker (Clinical)
4802 E JOHNSON AVE
JONESBORO, AR 72405
Clinical Nurse Specialist (Adult Health)
4802 E JOHNSON AVE
JONESBORO, AR 72405
Surgery
4802 E JOHNSON AVE
JONESBORO, AR 72405
Nurse Practitioner (Family)
4802 E JOHNSON AVE
JONESBORO, AR 72405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598244394, enumerated as an "individual" on August 13, 2018.

The provider is located at 4802 E JOHNSON AVE JONESBORO, AR 72405 and the phone number is (870) 936-8000.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.