Doctor profile · Federal record

Dr. Jacqueline Johnson, CRNA

Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Philadelphia, PA

  • NPI 1972803468
  • Accepts Medicare
  • MIPS 72.5 / 100 · 2023
  • 16 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
3401 N Broad St
Philadelphia, PA 191405103
(215) 707-3326
fax (215) 707-8028
Additional location
7652 Woodbine Ave
Philadelphia, PA 191512721
(215) 878-7077
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 191291302

Credentials & registration

NPPES · NUCC
NPI registered
October 2010 — 16 yrs on file
Profile last updated
April 30, 2018
Year of graduation
2010 — 16 yrs since
Specialty taxonomy
367500000X — NUCC code
State license (1)
Pennsylvania #RN528826L

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1972803468. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
18
Distinct HCPCS
1
Medicare allowed
$1,589
HCPCS Description Services Patients Avg allowed
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 18 18 $88

In context: peer comparison

Among 200 peers in this city , average services per provider: 28. This provider delivers 0.6× the peer median.

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jacqueline Johnson's medical specialty?
Dr. Jacqueline Johnson practices Certified Registered Nurse Anesthetist in Philadelphia, PA.
Where does Dr. Jacqueline Johnson practice?
Dr. Jacqueline Johnson practices at 3401 N Broad St, Philadelphia, PA 191405103. Office phone: 2157073326.
What is Dr. Jacqueline Johnson's NPI?
Dr. Jacqueline Johnson's National Provider Identifier (NPI) is 1972803468, 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: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.