Jared Richard Johnson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA0343 Issued in NV

Practice address

1784 Browning Way Ste 120
Elko, NV 89801-8331

Phone

(775) 738-2555

NPI assigned

Jun 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

John Gull D.O., P.CGroup PAC ID 3870738594, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• John Gull D.O., P.C.

  • Otolaryngic Allergy Physician
  • Elko, NV
  • NPI 1679811749
  Medicare reassignment Care Compare group
• PHC-Elko Inc

  • Rural Acute Care Hospital
  • Elko, NV
  • NPI 1770674350
  NPD (past)

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

• PHC-Elko Inc

  • Rural Acute Care Hospital
  • Elko, NV
  • NPI 1770674350
  Care Compare affiliation

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1508247461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 ABARR DR",
            "city": "SPRING CREEK",
            "state": "NV",
            "postal_code": "898157344",
            "telephone_number": "775-385-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1784 BROWNING WAY STE 120",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898018331",
            "telephone_number": "775-738-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JARED",
        "middle_name": "RICHARD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA0343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Michael Jensen, DO
• John Gull D.O., P.C.
• John Patton LTD
• Clarissa Johnson
• Cynthia Louise Johnson, P.H.N.
• Melanie Kay Johnson
• Sierra Johnson, LCSW
• Thomas C Johnson, D.O.
• Daniel Jones, DO
• James Murray Jordan, MPT

• Physician Assistant in Elko, NV
• Providers in Elko, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.