Mrs Jacquelyn Stella Johnson, FNP in Crossroads, TX

Mrs Jacquelyn Stella Johnson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Crossroads, Texas. Her current practice location is 11350 Us Highway 380 Ste 100, Crossroads, Texas. You can reach out to her office (for appointments etc.) via phone at (940) 228-0721.

Mrs Jacquelyn Stella Johnson is licensed to practice in Texas (license number F06230198) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609569714.

Contact Information

	Mrs Jacquelyn Stella Johnson, FNP
	11350 Us Highway 380 Ste 100, Crossroads, TX 76227-8319
	(940) 228-0721
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Jacquelyn Stella Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	11350 Us Highway 380 Ste 100, Crossroads, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609569714
Provider Enumeration Date: 06/02/2023
Last Update Date: 06/23/2023

Medicare PECOS Information:

PECOS PAC ID: 7113376864
Enrollment ID: I20231207000649

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Stella Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609569714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	948039 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	F06230198 (Texas)	Primary

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. Mrs Jacquelyn Stella Johnson allows following entities to bill medicare on her behalf.

Entity Name	Communitymed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821417072 PECOS PAC ID: 9830315126 Enrollment ID: O20140722002029

Entity Name	Communitymed Pcp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063818219 PECOS PAC ID: 7618295007 Enrollment ID: O20150415001009

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. Mrs Jacquelyn Stella 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
Mrs Jacquelyn Stella Johnson, FNP 1701 Royal Ln Apt 8205, Farmers Branch, TX 75229-3181 Ph: (214) 886-0137	Mrs Jacquelyn Stella Johnson, FNP 11350 Us Highway 380 Ste 100, Crossroads, TX 76227-8319 Ph: (940) 228-0721

Reviews and Comments

Nurse Practitioner Nurses in Crossroads, TX

Amber Lorraine Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8700 Us Highway 380 Ste 300, Crossroads, TX 76227 Phone: 940-365-7033
Casey Jamison, WHNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Us Highway 380 Ste 300, Crossroads, TX 76227 Phone: 940-231-5657
Esther Njambi Nyamongo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11101 Us Highway 380, Crossroads, TX 76227 Phone: 940-365-5762
Mr. George Golajer Silvosa, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11101 Us 380, Crossroads, TX 76227 Phone: 940-365-5762 Fax: 940-686-5834
Lee Vest, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3201 Us Highway 380 Ste 201, Crossroads, TX 76227 Phone: 940-365-3030 Fax: 940-365-3032
Tandi Michele Barnett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11350 Us Highway 380 Ste 100, Crossroads, TX 76227 Phone: 940-228-0721
Mrs. Kathryn Nicole Anderson, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Us Highway 380, Suite 300, Crossroads, TX 76227 Phone: 940-365-9001

Mrs Jacquelyn Stella Johnson, FNP - Medicare Nurse Practitioner in Crossroads, TX