MS. JACLYN MARIE JOHNSON PA-C
NPI 1831838960
Physician Assistant in Baton Rouge, LA

Q: What is Jaclyn Johnson's NPI number?

The NPI number for Jaclyn Johnson is 1831838960. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Q: What is Jaclyn Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Johnson was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 27, 2022PECOS Enrolled

7777 HENNESSY BLVD STE 2003B, BATON ROUGE, LA 70808(337) 534-0952 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2022, May 27, 2022 (2 updates tracked since 2022).

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About Ms. Jaclyn Marie Johnson Pa-c NPPES

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

MS. JACLYN MARIE JOHNSON PA-C (NPI 1831838960) is an individual physician assistant in Baton Rouge, Louisiana, licensed in Louisiana (332573) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Lake Charles Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831838960

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. JACLYN MARIE JOHNSONCredential: PA-C

Location Address7777 HENNESSY BLVD STE 2003BBaton Rouge, LA 70808-4300

Mailing Address7777 Hennessy Blvd Ste 2003bBaton Rouge, LA 70808-4300 · (337) 534-0952

Phone(337) 534-0952

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 27, 2022

Last NPPES UpdateJuly 18, 20222 updates tracked since enumeration

NPPES CertifiedJuly 18, 2022

✔ NPI 1831838960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in LA · 332573

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7777 HENNESSY BLVD STE 2003B, Baton Rouge, LA 70808

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jaclyn Marie Johnson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335516517

PECOS Enrollment IDI20221031002775

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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

55 services54 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

41 services41 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

28 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190060

Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County

Emergency services Birthing friendly

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number190064

Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALI L. BLEAKLEY PA

Physician Assistant