Jacqueline Johnson
NPI 1063957009 · Family Nurse Practitioner · West Covina, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Johnson is a Family Nurse Practitioner provider in West Covina, CA (NPI 1063957009).
Provider details
- NPI number
- 1063957009
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 95005643 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
437 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 141 | $101 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 43 | $70 |
| 2019-Ncov Coronavirus, Sars-Cov-2/2019-Ncov (covid-19), Any Technique, Multiple Types Or Subtypes (includes All Targets), Non-CdcU0002 | 43 | $50 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 34 | $144 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 32 | $9 |
| Automated Urinalysis Test81003 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 43 | 42 |
| Doxycycline Hyclate | 38 | 37 |
| Prednisone | 31 | 29 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 23 | 23 |
| Cephalexin | 18 | 18 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 16 | 16 |
| Azithromycin | 15 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-12-29
- Last updated
- 2017-01-12
Frequently asked questions
- What is Jacqueline Johnson's NPI number?
- Jacqueline Johnson's National Provider Identifier (NPI) is 1063957009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Johnson's specialty?
- Jacqueline Johnson is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacqueline Johnson located?
- Jacqueline Johnson's practice location on file with NPPES is 420 S. Glendora Ave, West Covina, CA 91790.
- What is Jacqueline Johnson's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Johnson is (616) 250-5247.
- Does Jacqueline Johnson accept Medicare?
- Jacqueline Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Johnson's NPI active?
- Yes — Jacqueline Johnson's NPI (1063957009) is active in the NPPES registry as of the last update on 2017-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.