Jake Johnson, PA
NPI 1134787518 · Physician Assistant · Bridgeport, CT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jake Johnson, PA is a Physician Assistant provider in Bridgeport, CT (NPI 1134787518).
Provider details
- NPI number
- 1134787518
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 4557 (CT)
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 tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-31
- Last updated
- 2019-08-07
Frequently asked questions
- What is Jake Johnson's NPI number?
- Jake Johnson's National Provider Identifier (NPI) is 1134787518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Johnson's specialty?
- Jake Johnson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jake Johnson located?
- Jake Johnson's practice location on file with NPPES is 267 Grant St, Bridgeport, CT 06610-2805.
- What is Jake Johnson's phone number?
- The practice phone number listed in the NPPES registry for Jake Johnson is (203) 384-3000.
- Does Jake Johnson accept Medicare?
- Jake Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jake Johnson's NPI active?
- Yes — Jake Johnson's NPI (1134787518) is active in the NPPES registry as of the last update on 2019-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.