Jacqueline Johnson, PA-C in Michigan City, IN - Medicare Physician Assistant

Jacqueline Johnson, PA-C is a medicare enrolled "Physician Assistant" in Michigan City, Indiana. She graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice City Of Hope Medical Foundation and her current practice location is 8955 W 400 N, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 861-5800.

Jacqueline Johnson is licensed to practice in Indiana (license number 10005083A) 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 1356617021.

Contact Information

	Jacqueline Johnson, PA-C
	8955 W 400 N, Michigan City, IN 46360-9330
	(219) 861-5800
	(219) 861-5543

Map and Direction

Provider's Profile

Full Name	Jacqueline Johnson
Gender	Female
Speciality	Physician Assistant
Experience	20 Years
Location	8955 W 400 N, Michigan City, Indiana
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:

Jacqueline Johnson graduated from nursing school in 2006

NPI Data:

NPI Number: 1356617021
Provider Enumeration Date: 03/28/2012
Last Update Date: 01/09/2026

Medicare PECOS Information:

PECOS PAC ID: 4880817394
Enrollment ID: I20140529002402

Medical Identifiers

Medical identifiers for Jacqueline Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356617021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	10005083A (Indiana)	Primary
363A00000X	Physician Assistant	PA22120 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
City Of Hope Medical Foundation	3779751656	791

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. Jacqueline Johnson 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
Jacqueline Johnson, PA-C Po Box 781076, Detroit, MI 48278-1008 Ph: (317) 528-4800	Jacqueline Johnson, PA-C 8955 W 400 N, Michigan City, IN 46360-9330 Ph: (219) 861-5800

Reviews and Comments

Physician Assistant Nurses in Michigan City, IN

Ellison Pratley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3777 N Frontage Rd Ste 900, Michigan City, IN 46360 Phone: 219-921-1444
Abigail Gabriela Gemeinhart, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way Ste 300, Michigan City, IN 46360 Phone: 219-877-1101 Fax: 219-877-1187
Emily A Damitz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave Ste 300, Michigan City, IN 46360 Phone: 219-878-5032 Fax: 219-878-5052
Kevin Smith, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1225 E Coolspring Ave, Michigan City, IN 46360 Phone: 219-861-8161 Fax: 219-873-9504
Carolyn M Valois, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way Ste 400, Michigan City, IN 46360 Phone: 219-861-8785 Fax: 219-861-8789
Allison Kayce Cherkasov, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-877-1616

Jacqueline Johnson, PA-C - Medicare Physician Assistant in Michigan City, IN