Doctor profile · Federal record

Dr. Jaclyn Johnson, RD

Registered Dietitian (CMS: Registered Dietitian or Nutrition Professional) · Willmar, MN

  • NPI 1811488430
  • Accepts Medicare
  • 10 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1604 1St St S
Willmar, MN 562014243
(320) 231-6348
fax (320) 231-5067

Credentials & registration

NPPES · NUCC
NPI registered
May 2018 — 8 yrs on file
Profile last updated
May 25, 2023
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
133V00000X — NUCC code
State license (1)
Minnesota #3952

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1811488430. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
258
Distinct HCPCS
2
Medicare allowed
$12,401
HCPCS Description Services Patients Avg allowed
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 195 91 $54
97802 Therapy procedure for nutrition management, each 15 minutes 63 28 $31

In context: peer comparison

Among 1 peers in this city , average services per provider: 129. This provider delivers 2.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jaclyn Johnson's medical specialty?
Dr. Jaclyn Johnson practices Registered Dietitian in Willmar, MN.
Where does Dr. Jaclyn Johnson practice?
Dr. Jaclyn Johnson practices at 1604 1St St S, Willmar, MN 562014243. Office phone: 3202316348.
What is Dr. Jaclyn Johnson's NPI?
Dr. Jaclyn Johnson's National Provider Identifier (NPI) is 1811488430, issued by NPPES.
Does Dr. Jaclyn Johnson accept Medicare assignment?
Yes. Dr. Jaclyn Johnson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jaclyn Johnson commonly perform?
Top Medicare-reported procedures in 2023: Diabetes outpatient self-management training services, individual, per 30 minutes (HCPCS G0108); Therapy procedure for nutrition management (HCPCS 97802). Source: CMS Medicare Physician & Other Practitioners file.