Jennifer Johansen, APN is a medicare enrolled "Nurse Practitioner - Family" physician in Wall Township, New Jersey. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hackensack Meridian Health Medical Group - Specialty Care Pc and her current practice location is
3350 Route 138 Ste 126, Wall Township, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 280-6455.
Jennifer Johansen is licensed to practice in New Jersey (license number 26NJ00668000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942758859.
Physician's Profile
Full Name | Jennifer Johansen |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 8 Years |
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Location | 3350 Route 138 Ste 126, Wall Township, New Jersey |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer Johansen graduated from medical school in 2016
NPI Data:
- NPI Number: 1942758859
- Provider Enumeration Date: 09/20/2016
- Last Update Date: 05/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517376098
- Enrollment ID: I20210513001244
Medical Identifiers
Medical identifiers for Jennifer Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942758859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 26NJ00668000 (New Jersey) | Secondary |
363LF0000X | Nurse Practitioner - Family | 26NJ00668000 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1090 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Johansen allows following entities to bill medicare on her behalf.
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
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Entity Name | Meridian Medical Group-specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942362587 PECOS PAC ID: 6507962206 Enrollment ID: O20070425000673 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Johansen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Johansen, APN 3600 Route 66, Fl 3, Neptune, NJ 07753-2645 Ph: (732) 807-0877 | Jennifer Johansen, APN 3350 Route 138 Ste 126, Wall Township, NJ 07719-9694 Ph: (732) 280-6455 |
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