Jacob V Johnson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9086A Issued in WY

Practice address

3000 College Dr
Rock Springs, WY 82901-4202

Phone

(307) 212-7708

Fax

(307) 352-8148

NPI assigned

Sep 14, 2011

Last updated

Jan 22, 2020By the provider in NPPES

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 WY

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 1

Specialty

Osteopathic Manipulative MedicineAlso: Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Memorial Hospital of Sweetwater CountyGroup PAC ID 0244124550, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rocky Mountain Home Care-Green River Home health agency, Green River, WY, CCN 537302
• Symbii Home Health Home health agency, Afton, WY, CCN 537073
• Cowboy Cares Home Health Home health agency, Lyman, WY, CCN 537079
• Hospice of Sweetwater County Hospice, Rock Springs, WY, CCN 531500
• Memorial Hospital Sweetwater County Hospital, Rock Springs, WY, CCN 531318

Merit-based Incentive Payment System (MIPS)

Final score

81.04 of 100Reported as group

Quality

64.43

Promoting interoperability

100

Improvement activities

40

Cost

72.37

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Memorial Hospital of Sweetwater County

  dba County of Sweetwater

  • Critical Access Hospital
  • Rock Springs, WY
  • NPI 1558361949
  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Sweetwater County

  dba County of Sweetwater

  • Internal Medicine Physician
  • Rock Springs, WY
  • NPI 1437312436
  NPD

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

• Bcbu, Inc.

  dba Rocky Mountain Home Care - Green River

  • Home Health Agency
  • Green River, WY
  • NPI 1811994122
  Care Compare affiliation
• Cowboy Cares, Inc.

  dba Cowboy Cares Home Health

  • Home Health Agency
  • Lyman, WY
  • NPI 1821472903
  Care Compare affiliation
• Hospice of Sweetwater County

  • Community Based Hospice Care Agency
  • Rock Springs, WY
  • NPI 1992767263
  Care Compare affiliation
• Memorial Hospital of Sweetwater County

  dba County of Sweetwater

  • Critical Access Hospital
  • Rock Springs, WY
  • NPI 1558361949
  Care Compare affiliation
• Star Valley Healthcare, Inc.

  dba Symbii Home Health

  • Home Health Agency
  • Afton, WY
  • NPI 1073090585
  Care Compare affiliation

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1851673008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829021359",
            "telephone_number": "307-212-7708",
            "fax_number": "307-352-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLLEGE DR",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014202",
            "telephone_number": "307-212-7708",
            "fax_number": "307-352-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACOB",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "9086A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Merrill Jensen, D.O.
• Melissa M Jewell, PA-C
• John W. Aaron III, DPM
• Colton Johnson
• Frederick Johnson, MD
• Jaime K Johnson, OTR/L
• Jill Ann Johnson, MS LMFT
• Joel Johnson, D.C.
• Kasia Marie Johnson
• Sarah Johnson

• Family Medicine Physician in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.