JESSILYN MAE JOHANNSEN RN
NPI 1811731490
Nurse Practitioner in Sioux City, IA
About Jessilyn Mae Johannsen Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSILYN MAE JOHANNSEN RN (NPI 1811731490) is an individual nurse practitioner in Sioux City, Iowa, licensed in Iowa (A185562) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Jessilyn Mae Johannsen Rn 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Regional Medical Center
Acute Care Hospitals · Sioux City, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 51104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SIOUX CITY, IA 51104
SIOUX CITY, IA 51104
SIOUX CITY, IA 51104
SIOUX CITY, IA 51104
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 Jessilyn Johannsen's NPI number?
The NPI number for Jessilyn Johannsen is 1811731490. It was assigned to this individual provider in the NPPES registry on June 19, 2024.
Where is Jessilyn Johannsen located?
Jessilyn Johannsen practices at 2720 Stone Park Blvd, Sioux City, IA 51104. The listed phone number is (712) 279-3750.
What is Jessilyn Johannsen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jessilyn Johannsen enrolled in Medicare?
Yes. Jessilyn Johannsen 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.
Is Jessilyn Johannsen affiliated with any hospitals?
According to CMS data, Jessilyn Johannsen is affiliated with St Lukes Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Jessilyn Johannsen was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jessilyn Mae Johannsen, RN · NPI 1811731490
Nurse Practitioner physician in Sioux City, Iowa. Individual provider, active in the CMS NPPES registry since June 19, 2024.
## Identity
- **NPI:** 1811731490 (Entity type: Individual)
- **Enumerated:** June 19, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** A185562 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 2720 STONE PARK BLVD, Sioux City, IA 51104-3734
- **Phone:** (712) 279-3750
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811731490) · Data from the CMS NPPES public registry.