Jacquelynn Melissa Smith Johnson, CNM is a medicare enrolled "Advanced Practice Midwife" in New Freedom, Pennsylvania. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Wellspan Medical Group and her current practice location is
13515 Wolfe Rd, New Freedom, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 812-2540.
Jacquelynn Melissa Smith Johnson is licensed to practice in NU (license number ) 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 1831860162.
Provider's Profile
| Full Name | Jacquelynn Melissa Smith Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Certified Nurse Midwife (cnm) |
|---|
| Experience | 6 Years |
|---|
| Location | 13515 Wolfe Rd, New Freedom, Pennsylvania |
|---|
| 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:
- Jacquelynn Melissa Smith Johnson graduated from nursing school in 2020
NPI Data:
- NPI Number: 1831860162
- Provider Enumeration Date: 09/27/2021
- Last Update Date: 05/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961892252
- Enrollment ID: I20250520002754
Medical Identifiers
Medical identifiers for Jacquelynn Melissa Smith Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831860162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | (NU) | Primary |
| 176B00000X | Midwife | R211303 (Maryland) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wellspan Medical Group | 1951213115 | 2438 |
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. Jacquelynn Melissa Smith Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Wellspan Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1669770004
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815 |
|---|
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. Jacquelynn Melissa Smith 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 |
|---|
Jacquelynn Melissa Smith Johnson, CNM
601 Memory Ln,
York, PA 17402-2231
Ph: (717) 851-1405 | Jacquelynn Melissa Smith Johnson, CNM
13515 Wolfe Rd,
New Freedom, PA 17349-9346
Ph: (717) 812-2540 |
Reviews and Comments