JESSICA MARIE JOHNSON PA-C
NPI 1710732177
Physician Assistant - Medical in Phoenix, AZ

Active since April 19, 2024PECOS EnrolledAccepts Medicare Assignment
10240 W INDIAN SCHOOL RD STE 100, PHOENIX, AZ 85037(480) 821-3600 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Apr 19, 2024 (2 updates tracked since 2024).

About Jessica Marie Johnson Pa-c NPPES

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

JESSICA MARIE JOHNSON PA-C (NPI 1710732177) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (10411) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2024).

NPPES Registry Identity

NPI1710732177
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA MARIE JOHNSONCredential: PA-C
Location Address10240 W INDIAN SCHOOL RD STE 100Phoenix, AZ 85037-5905
Mailing AddressPo Box 6730Chandler, AZ 85246-6730 · (480) 821-3600
Sole ProprietorYes
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2024
Enumeration DateApril 19, 2024
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
NPI 1710732177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 10411
10240 W INDIAN SCHOOL RD STE 100, Phoenix, AZ 85037

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 and accepts Medicare assignment

Jessica Marie Johnson Pa-c 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 ID8426597212
PECOS Enrollment IDI20240823003546
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.

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.

Nurse Practitioner (Women's Health)
10240 W INDIAN SCHOOL RD STE 100
PHOENIX, AZ 85037
Physician Assistant (Medical)
10240 W INDIAN SCHOOL RD STE 100
PHOENIX, AZ 85037

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 Jessica Johnson's NPI number?

The NPI number for Jessica Johnson is 1710732177. It was assigned to this individual provider in the NPPES registry on April 19, 2024.

Where is Jessica Johnson located?

Jessica Johnson practices at 10240 W Indian School Rd Ste 100, Phoenix, AZ 85037. The listed phone number is (480) 821-3600.

What is Jessica Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Johnson enrolled in Medicare?

Yes. Jessica 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.

What insurance does Jessica Johnson accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Jessica 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 Jessica Johnson was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.