Doctor profile · Federal record
Dr. Jacqueline Johnson, PA-C
Physician Assistant · Physician Assistant · Michigan City, IN
- NPI 1356617021
- Accepts Medicare
- MIPS 91.9 / 100 · 2023
- 20 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
8955 W 400 N
Michigan City, IN 463609330
(219) 861-5800
fax (219) 861-5543 - Additional location
-
1500 Duarte RD
Duarte, CA 910103012
(626) 256-4673 - Mailing address
-
Po Box 781076
Detroit, MI 482781008
Credentials & registration
- NPI registered
- March 2012 — 14 yrs on file
- Profile last updated
- January 9, 2026
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Indiana #10005083A · California #PA22120
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1356617021. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
17
Distinct HCPCS
1
Medicare allowed
$1,004
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 17 | 15 | $59 |
In context: peer comparison
Among 1 peers in Michigan City Physician Assistant, average services per provider: 17. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$215
Transactions
5
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals Lp | 1 | $125.00 | |
| Alexion Pharmaceuticals, INC. | 1 | $29.24 | |
| Solventum Corporation | 1 | $26.96 | |
| Amgen INC. | 1 | $17.52 | |
| Daiichi Sankyo INC. | 1 | $16.11 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
52
Patients
21
Total drug cost
$2,327
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Oxycodone Hcl | Generic | 29 | 21 | $354 |
| Enoxaparin Sodium | Generic | 12 | 0 | $1,892 |
| Gabapentin | Generic | 11 | 0 | $81 |
Frequently asked questions
What is Dr. Jacqueline Johnson's medical specialty?
Dr. Jacqueline Johnson practices Physician Assistant in Michigan City, IN.
Where does Dr. Jacqueline Johnson practice?
Dr. Jacqueline Johnson practices at 8955 W 400 N, Michigan City, IN 463609330. Office phone: 2198615800.
What is Dr. Jacqueline Johnson's NPI?
Dr. Jacqueline Johnson's National Provider Identifier (NPI) is 1356617021, issued by NPPES.
Does Dr. Jacqueline Johnson accept Medicare assignment?
Yes. Dr. Jacqueline Johnson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jacqueline Johnson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.