Ms Jennifer Ann Johnson, PA is a
Physician Assistant - Surgical based in Us Air Force, Colorado. Ms Jennifer Ann Johnson is licensed to practice in Colorado (license number PA.0004517) and her current practice location is
4102 Pinion Dr, Us Air Force, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 333-5041.
NPI number for Ms Jennifer Ann Johnson is 1437103702 and her current mailing address is 4102 Pinion Dr, Usaf Academy, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1437103702.
Provider's Profile
| Full Name | Ms Jennifer Ann Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Surgical |
|---|
| Location | 4102 Pinion Dr, Us Air Force, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437103702
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 06/15/2026
Medical Identifiers
Medical identifiers for Ms Jennifer Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437103702 | NPI | - | NPPES |
| 41960600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | PA.0004517 (Colorado) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 1470-023 (Wisconsin) | Secondary |
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. Ms Jennifer Ann Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Jennifer Ann Johnson, PA
4102 Pinion Dr,
Usaf Academy, CO 80840-2502
Ph: (719) 333-5041 | Ms Jennifer Ann Johnson, PA
4102 Pinion Dr,
Us Air Force, CO 80840-2502
Ph: (719) 333-5041 |
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