Jennifer Cobb Johnson, RN.CS

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NPP37087 Issued in RI

Practice address

360 Kingstown Rd
Narragansett, RI 02882-3239

Phone

(401) 789-9911

Fax

(401) 789-3106

NPI assigned

Oct 27, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in RI

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, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert K Dyer MD Dermatology LLCGroup PAC ID 8123290491, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Robert K Dyer MD Dermatology LLC

  • Dermatology Physician
  • East Greenwich, RI
  • NPI 1528348521
  Medicare reassignment Care Compare group NPD
• Lydia L. Klufas MD

  • Specialist
  • Cumberland, RI
  • NPI 1477715209
  NPD (past)
• South County Family Medicine Inc.

  • Family Medicine Physician
  • Hope Valley, RI
  • NPI 1225041064
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962588384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 OSPRAY ROAD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823408",
            "telephone_number": "401-782-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 KINGSTOWN RD",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823239",
            "telephone_number": "401-789-9911",
            "fax_number": "401-789-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "COBB",
        "credential": "RN.CS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "NPP37087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER LICENS",
            "identifier": "NPP37087",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "24157-7",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHIP",
            "identifier": "407372",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lea Alexis Iacobbo, PA-C
• Jacqueline Anne Silva
• James J. Murdocco MD Inc
• Susan D. Jameson, P.T.
• Jason Dollard and Associates, LLC
• Karen F. Lamorge, DPM, LTD
• Brooke Keeley, DPM
• Kenneth J. Hathaway DO, Inc
• Kathleen A Kolb, P.T.
• Jay S Korsen, DC

• Nurse Practitioner in Narragansett, RI
• Providers in Narragansett, RI by specialty
• Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.