MRS. JACQUELYN STELLA JOHNSON FNP
NPI 1609569714
Nurse Practitioner - Family in Dallas, TX

Active since June 02, 2023PECOS Enrolled
3305 GASTON AVE, DALLAS, TX 75246(214) 820-0317 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2025, Jun 23, 2023, Jun 2, 2023 (3 updates tracked since 2023).

About Mrs. Jacquelyn Stella Johnson Fnp NPPES

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

MRS. JACQUELYN STELLA JOHNSON FNP (NPI 1609569714) is an individual family provider in Dallas, Texas, licensed in Texas (F06230198) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609569714
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JACQUELYN STELLA JOHNSONCredential: FNP
Location Address3305 GASTON AVEDallas, TX 75246-2014
Mailing Address8501 Fm 407Double Oak, TX 75077-3031 · (972) 966-1980 · Fax (972) 691-4937
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 2, 2023
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
NPI 1609569714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · F06230198
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 948039 (TX)
3305 GASTON AVE, Dallas, TX 75246

Secondary Practice Locations 2

Location 18501 Fm 407Lewisville, TX 75077-3031 · Phone (972) 966-1980 · Fax (972) 691-4937
Location 2391 Highway 377 SArgyle, TX 76226-5113 · Phone (940) 784-7301 · Fax (469) 519-1461

Accepted 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)

Mrs. Jacquelyn Stella Johnson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113376864
PECOS Enrollment IDI20231207000649
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 14

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
221 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
149 services131 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
104 services99 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
80 services78 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
70 services54 patients
Detection test by immunoassay technique for respiratory syncytial virus (rsv) 87420
A detection test by immunoassay technique for Respiratory Syncytial Virus (RSV) is a lab procedure that identifies the RSV. This virus causes respiratory tract infections. The test uses your body's immune response to detect the presence of the virus. It's a safe, non-invasive procedure.
69 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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 Jacquelyn Johnson's NPI number?

The NPI number for Jacquelyn Johnson is 1609569714. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Jacquelyn Johnson located?

Jacquelyn Johnson practices at 3305 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-0317.

What is Jacquelyn Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacquelyn Johnson enrolled in Medicare?

Yes. Jacquelyn Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn Johnson accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Jacquelyn 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.

When was this NPI record last updated?

The NPPES record for Jacquelyn Johnson was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.