MRS. JACQUELINE S JOHANSON P.A.-C
NPI 1952304982
Physician Assistant in Grand Rapids, MI
About Mrs. Jacqueline S Johanson P.a.-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELINE S JOHANSON P.A.-C (NPI 1952304982) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601008301) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and maintains a secondary practice location in Grand Rapids.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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
Mrs. Jacqueline S Johanson P.a.-c 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.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 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
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 Jacqueline Johanson's NPI number?
The NPI number for Jacqueline Johanson is 1952304982. It was assigned to this individual provider in the NPPES registry on May 23, 2005. The provider is also known as Miss Jacqueline S Dascola Pa-C.
Where is Jacqueline Johanson located?
Jacqueline Johanson practices at 310 Lafayette Ave SE Ste 410, Grand Rapids, MI 49503. The listed phone number is (616) 685-8200.
What is Jacqueline Johanson's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jacqueline Johanson enrolled in Medicare?
Yes. Jacqueline Johanson 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.
What insurance does Jacqueline Johanson accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Jacqueline Johanson 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.
Is Jacqueline Johanson affiliated with any hospitals?
According to CMS data, Jacqueline Johanson is affiliated with Mercy Health Saint Mary's.
When was this NPI record last updated?
The NPPES record for Jacqueline Johanson was last updated on December 28, 2021. 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.
