JACQUELINE JOHNSON FNP
NPI 1831609080
Nurse Practitioner - Family in Bronx, NY
About Jacqueline Johnson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE JOHNSON FNP (NPI 1831609080) is an individual family provider in Bronx, New York, licensed in New York (F341762-1) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Johnson Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 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.
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
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 Jacqueline Johnson's NPI number?
The NPI number for Jacqueline Johnson is 1831609080. It was assigned to this individual provider in the NPPES registry on October 2, 2017.
Where is Jacqueline Johnson located?
Jacqueline Johnson practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-5000.
What is Jacqueline Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Johnson enrolled in Medicare?
Yes. Jacqueline Johnson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jacqueline Johnson was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jacqueline Johnson, FNP · NPI 1831609080
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since October 2, 2017.
## Identity
- **NPI:** 1831609080 (Entity type: Individual)
- **Enumerated:** October 2, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F341762-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 PELHAM PKWY S, Bronx, NY 10461-1138
- **Phone:** (718) 918-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 30, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1831609080) · Data from the CMS NPPES public registry.