JESSICA JOHNSON NPI 1124633904

NPI Information

  • NPI: 1124633904
  • Provider Name: JESSICA JOHNSON
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 421 S TEJON ST STE 250
    COLORADO SPRINGS, CO
    ZIP 80903
  • Phone: (719) 623-3068

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NPI Details

Jessica Johnson is a medical physician assistant in Colorado Springs, CO. Jessica Johnson NPI is 1124633904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

421 S TEJON ST STE 250
COLORADO SPRINGS, CO
ZIP 80903-139
Phone: (719) 623-3068

The NPI 1124633904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Hemoglobin a1c level (HCPCS:83036)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 9/9/2020 and was last updated on 12/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA.0006363COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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