JASON JOHNSON M.D
NPI 1669517611
Emergency Medicine in Whiteriver, AZ
About Jason Johnson M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASON JOHNSON M.D (NPI 1669517611) is an individual emergency medicine provider in Whiteriver, Arizona, licensed in Arizona (40617) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jason Johnson M.d 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jason Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Show Low, AZ 85901
- Reassigned Medicare billing, Arizona enrollment
- 104 clinicians in this Medicare group
Show Low, AZ 85901
- Reassigned Medicare billing, Arizona enrollment
- 99 clinicians in this Medicare group
Trinidad, CO 81082
- Reassigned Medicare billing, Arizona enrollment
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jason Johnson's NPI number?
The NPI number for Jason Johnson is 1669517611. It was assigned to this individual provider in the NPPES registry on February 20, 2007.
Where is Jason Johnson located?
Jason Johnson practices at 200 W. Hospital Dr., Whiteriver, AZ 95491. The listed phone number is (928) 338-4911.
What is Jason Johnson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jason Johnson enrolled in Medicare?
Yes. Jason Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jason Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Johnson reassigns Medicare benefits to 3 organizations: Summit Healthcare Association (Show Low, AZ), Summit Healthcare Medical Associates (Show Low, AZ) and Innova Emergency Medical Associates PC (Trinidad, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Johnson accept?
Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Jason 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 Jason Johnson was last updated on March 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Jason Johnson, M.D · NPI 1669517611
Emergency Medicine physician in Whiteriver, Arizona. Individual provider, active in the CMS NPPES registry since February 20, 2007.
## Identity
- **NPI:** 1669517611 (Entity type: Individual)
- **Enumerated:** February 20, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 40617 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W. HOSPITAL DR., Whiteriver, AZ 95491-0860
- **Phone:** (928) 338-4911
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Summit Healthcare Association (NPI 1144209271, Show Low, AZ); Summit Healthcare Medical Associates (NPI 1467878108, Show Low, AZ); Innova Emergency Medical Associates PC (NPI 1295178978, Trinidad, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Dakota School Of Medicine, class of 2004
## Record status
- **NPPES last updated:** March 13, 2012
- **Other identifiers:** Medicare OSCAR/certification 030113; Medicaid 1427335140 (AZ); Medicaid 1629236716 (AZ); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1669517611) · Data from the CMS NPPES public registry.