Individual provider Active NPI

Jacqueline Marie Johns, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1780276683
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114074 Issued in FL
Practice address
1020 Crosspointe Dr Ste 101
Naples, FL 34110-0918
Phone
(239) 231-1414
NPI assigned
Feb 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9114074 FL
Physician Assistant 363A00000X PA9114074 FL Primary

Addresses

Primary practice location

1020 Crosspointe Dr Ste 101
Naples, FL 34110-0918

Mailing address

3890 21St Ave SW
Naples, FL 34117-6624
Phone (904) 252-2623

Other practice location 1

7250 College Pkwy Ste 3
Fort Myers, FL 33907-5606
Phone (239) 231-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20210412001772 FL Practitioner - Physician Assistant 5294143293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology Office Joseph Kandel MD and Associates PLLCGroup PAC ID 4183945934, 3 clinicians

Practice addresses (Care Compare)

1020 Crosspointe Dr
Suite 101
Naples, FL 34110-0918
Phone (239) 231-1414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.97 of 100Reported as group
Quality
93.2
Improvement activities
40
Cost
52.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Office Joseph Kandel MD & Associates, PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

7250 College Pkwy
Ste 3
Fort Myers, FL 33907
Phone (239) 231-1414

1020 Crosspointe Dr
Ste 101
Naples, FL 34110
Phone (239) 231-1414

1020 Crosspointe Dr
Ste 1
Naples, FL 34110
Phone (239) 231-1414

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1780276683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 21ST AVE SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341176624",
            "telephone_number": "904-252-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CROSSPOINTE DR STE 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100918",
            "telephone_number": "239-231-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7250 College Pkwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339075606",
            "country_code": "US",
            "telephone_number": "239-231-1416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114074",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.