JACQUELINE ALICE JOHNSEN DO
NPI 1851553887
Emergency Medicine in Davis, CA
About Jacqueline Alice Johnsen Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE ALICE JOHNSEN DO (NPI 1851553887) is an individual emergency medicine provider in Davis, California, licensed in California (20A12181) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
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
Jacqueline Alice Johnsen Do 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 Jacqueline Johnsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Davis, CA 95616
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1548216260 (California)
- 2,323 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 4
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 95616 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAVIS, CA 95616
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 Johnsen's NPI number?
The NPI number for Jacqueline Johnsen is 1851553887. It was assigned to this individual provider in the NPPES registry on July 1, 2008.
Where is Jacqueline Johnsen located?
Jacqueline Johnsen practices at 2000 Sutter Pl, Davis, CA 95616. The listed phone number is (530) 757-5111.
What is Jacqueline Johnsen's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jacqueline Johnsen enrolled in Medicare?
Yes. Jacqueline Johnsen 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 Jacqueline Johnsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Johnsen reassigns Medicare benefits to Cep America - California (Davis, CA). 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 Jacqueline Johnsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Johnsen accept?
Health plans from Molina Healthcare list Jacqueline Johnsen 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 Jacqueline Johnsen was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacqueline Alice Johnsen, DO · NPI 1851553887
Emergency Medicine physician in Davis, California. Individual provider, active in the CMS NPPES registry since July 1, 2008.
## Identity
- **NPI:** 1851553887 (Entity type: Individual)
- **Enumerated:** July 1, 2008
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 20A12181 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 SUTTER PL, Davis, CA 95616-6201
- **Phone:** (530) 757-5111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cep America - California (NPI 1326346438, Davis, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** July 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1851553887) · Data from the CMS NPPES public registry.