Jacqueline Johanson, P.A.-C
NPI 1952304982 · Physician Assistant · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Johanson, P.A.-C is a Physician Assistant provider in Grand Rapids, MI (NPI 1952304982).
Provider details
- NPI number
- 1952304982
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601008301 (MI)
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
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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 prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 95 | 14 |
| Dolutegravir Sodium/Lamivudinebrand: Dovato | 31 | — |
| Cephalexin | 22 | — |
| Doxycycline Hyclate | 16 | — |
| Cefadroxil | 14 | — |
| Cefpodoxime Proxetil | 13 | — |
| Cabotegravir/Rilpivirinebrand: Cabenuva | 12 | — |
Practice location
Mailing address
Additional practice locations (1)
- 230 Michigan St Ne Ste 230Grand Rapids, MI 49503-1709Phone: (404) 355-3161Fax: (404) 355-1353
Registry dates
- Enumerated
- 2005-05-23
- Last updated
- 2021-12-28
- Certified
- 2021-12-28
Frequently asked questions
- What is Jacqueline Johanson's NPI number?
- Jacqueline Johanson's National Provider Identifier (NPI) is 1952304982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Johanson's specialty?
- Jacqueline Johanson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacqueline Johanson located?
- Jacqueline Johanson's practice location on file with NPPES is 310 Lafayette Ave Se Ste 410, Grand Rapids, MI 49503-4693.
- What is Jacqueline Johanson's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Johanson is (616) 685-8200.
- Does Jacqueline Johanson accept Medicare?
- Jacqueline Johanson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Johanson's NPI active?
- Yes — Jacqueline Johanson's NPI (1952304982) is active in the NPPES registry as of the last update on 2021-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.