MS. JACQUELYN LEE JOHNSON C.N.P.
NPI 1891710984
Nurse Practitioner in Little Falls, MN
About Ms. Jacquelyn Lee Johnson C.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACQUELYN LEE JOHNSON C.N.P. (NPI 1891710984) is an individual nurse practitioner in Little Falls, Minnesota, licensed in Minnesota (R108719-0) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 10
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jacquelyn Lee Johnson C.n.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacquelyn Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Little Falls, MN 56345
- Reassigned Medicare billing, Minnesota enrollment
- 205 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Jacquelyn Johnson's NPI number?
The NPI number for Jacquelyn Johnson is 1891710984. It was assigned to this individual provider in the NPPES registry on July 12, 2006. The provider is also known as Ms. Jacquelyn Lee Ruzich.
Where is Jacquelyn Johnson located?
Jacquelyn Johnson practices at 811 2nd St SE Suite A, Little Falls, MN 56345. The listed phone number is (320) 631-7000.
What is Jacquelyn Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jacquelyn Johnson enrolled in Medicare?
Yes. Jacquelyn Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacquelyn Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Johnson reassigns Medicare benefits to Unity Family Healthcare (Little Falls, MN). 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 Jacquelyn Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacquelyn Johnson was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ms. Jacquelyn Lee Johnson, C.N.P. · NPI 1891710984
Nurse Practitioner physician in Little Falls, Minnesota. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1891710984 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R108719-0 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 811 2ND ST SE, SUITE A, Little Falls, MN 56345-3559
- **Phone:** (320) 631-7000 · **Fax:** (320) 632-0534
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Unity Family Healthcare (NPI 1275762650, Little Falls, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2015
- **Other identifiers:** Medicare OSCAR/certification 500019836 (MN); Other 0107328; Medicare OSCAR/certification 500001748 (MN); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1891710984) · Data from the CMS NPPES public registry.