Jennifer M Johannes, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

CDRH.0059996 Issued in CO

Practice address

630 E Star CT
Montrose, CO 81401-6702

Phone

(970) 497-7925

Fax

(855) 855-4482

NPI assigned

Jul 1, 2011

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VT, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

Arizona College of Osteopathic Medicine Mid Western University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Montrose Regional Health Hospital, Montrose, CO, CCN 060006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennifer M Johannes DO PLLC

  • Surgery Physician
  • Montrose, CO
  • NPI 1700745668
  Medicare reassignment NPD Authorized official
• Colorado West Otolaryngologists PC

  dba ReGenesis Plastic Surgery & Dermatology

  • Otolaryngology/Facial Plastic Surgery Physician
  • Grand Junction, CO
  • NPI 1306831250
  Medicare reassignment NPD
• High Point Surgery LLC

  • Surgery Physician
  • Montrose, CO
  • NPI 1003577636
  Medicare reassignment NPD
• Gifford Medical Center Inc.

  • General Acute Care Hospital
  • Randolph, VT
  • NPI 1942329446
  Medicare reassignment NPD
• Colorado West Otolaryngologists PC

  dba Colorado West General Surgery

  • Surgery Physician
  • Montrose, CO
  • NPI 1578181392
  NPD
• Montrose Hormone Health & Wellness LLC

  dba Montrose Longevity Clinic

  • Obstetrics & Gynecology Physician
  • Montrose, CO
  • NPI 1003621186
  NPD
• Gifford Medical Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Randolph, VT
  • NPI 1013928068
  NPD
• Montrose Memorial Hospital, Inc

  dba Montrose Regional Health

  • General Acute Care Hospital
  • Montrose, CO
  • NPI 1205822186
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Montrose Memorial Hospital, Inc

  dba Montrose Regional Health

  • General Acute Care Hospital
  • Montrose, CO
  • NPI 1205822186
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1457648198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 NIAGARA RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-497-7925",
            "fax_number": "855-855-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E STAR CT",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016702",
            "telephone_number": "970-497-7925",
            "fax_number": "855-855-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANNES",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "OP60649442",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "CDRH.0059996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Howell
• Donna Yun Jin, MD
• Yuliya Jirnov, L.AC.
• Joanna Albert, OD, PC (Eye Care for Montrose)
• Joe C. Stucky, DDS, PC
• Jennifer Johnson
• Roxanne Johnson
• Tori Nikole Johnson, MS
• Emily Jones, LCSW
• Jennifer Robin Jones, MSW

• Surgery Physician in Montrose, CO
• Providers in Montrose, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.