Jacquelyn Stella Johnson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F06230198 Issued in TX

Practice address

3305 Gaston Ave
Dallas, TX 75246-2014

Phone

(214) 820-0317

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

No

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 TX

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

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Rapid Med Argyle PAGroup PAC ID 6800237207, 20 clinicians

North Texas Emergency Physicians, PAGroup PAC ID 2769560697, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• North Texas Emergency Physicians, PA

  • Urgent Care Clinic/Center
  • Double Oak, TX
  • NPI 1477758969
  Medicare reassignment Care Compare group NPD
• Rapid Med Argyle PA

  • Urgent Care Clinic/Center
  • Argyle, TX
  • NPI 1528666153
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1609569714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 FM 407",
            "city": "DOUBLE OAK",
            "state": "TX",
            "postal_code": "750773031",
            "telephone_number": "972-966-1980",
            "fax_number": "972-691-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462014",
            "telephone_number": "214-820-0317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8501 Fm 407",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750773031",
            "country_code": "US",
            "telephone_number": "972-966-1980",
            "fax_number": "972-691-4937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 Highway 377 S",
            "address_purpose": "LOCATION",
            "city": "Argyle",
            "state": "TX",
            "postal_code": "762265113",
            "country_code": "US",
            "telephone_number": "940-784-7301",
            "fax_number": "469-519-1461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACQUELYN",
        "middle_name": "STELLA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F06230198",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "948039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanan Genet Johnson, CRNA
• Hannah Johnson
• Hattie Mae Johnson, LMSW
• Ivey Johnson
• Jackie Ray Johnson, CRNA
• Jasmin Michelle Johnson
• Jasmine Johnson
• Jasmine Latrice Johnson
• Jasmine Renee Johnson
• Jason Johnson, LCDC

• Family Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.