JACLYN JOHNSON
NPI 1700300373
Optometrist in Surprise, AZ
About Jaclyn Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN JOHNSON (NPI 1700300373) is an individual optometrist in Surprise, Arizona, licensed in Colorado (OPT.0003337) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Jaclyn Johnson 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 Reassignment
Medicare enrollment records show Jaclyn Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 224 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.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SURPRISE, AZ 85374
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 Jaclyn Johnson's NPI number?
The NPI number for Jaclyn Johnson is 1700300373. It was assigned to this individual provider in the NPPES registry on July 26, 2017.
Where is Jaclyn Johnson located?
Jaclyn Johnson practices at 14239 W Bell Rd Ste 216, Surprise, AZ 85374. The listed phone number is (602) 955-1000.
What is Jaclyn Johnson's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jaclyn Johnson enrolled in Medicare?
Yes. Jaclyn 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 organization bills Medicare for Jaclyn Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Johnson reassigns Medicare benefits to Barnet Dulaney Perkins Eye Center, PC (Phoenix, AZ). The 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 Jaclyn Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Johnson accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona and Blue Cross Blue Shield of Wyoming and 12 other insurers list Jaclyn 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 Jaclyn Johnson was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jaclyn Johnson · NPI 1700300373
Optometrist provider in Surprise, Arizona. Individual provider, active in the CMS NPPES registry since July 26, 2017.
## Identity
- **NPI:** 1700300373 (Entity type: Individual)
- **Enumerated:** July 26, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT.0003337 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 14239 W BELL RD STE 216, Surprise, AZ 85374-2482
- **Phone:** (602) 955-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Barnet Dulaney Perkins Eye Center, PC (NPI 1376574707, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 14, 2018
- **Other identifiers:** Medicaid 418504 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1700300373) · Data from the CMS NPPES public registry.