JENELLE KRISTINE JOHNSON – Physician Assistant, NPI 1891277174
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
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Provider Addresses for JENELLE KRISTINE JOHNSON
HC 89 BOX 8190
TALKEETNA, AK 996769701
Phone: (907) 733-2273
Fax: (907) 733-1735
Type: Mailing
Talkeetna Spur Road, Talkeetna, Matanuska-Susitna, Alaska, 99676, United States
TALKEETNA, AK 996769701
Phone: (907) 733-2273
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: ABBVIE INC. ($45).
Total Amount
$78
General + Research + Ownership
Payments
4
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $45 |
| PFIZER INC. | $20 |
| AstraZeneca Pharmaceuticals LP | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-02-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200214001820 | I | Physician Assistant | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 130 | 101 | $0 |
| 81000 | Manual urinalysis test with examination using microscope, non-automated | 60 | 40 | $0 |
| 83036 | Hemoglobin a1c level | 30 | 23 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 19 | 13 | $0 |
| 87400 | Detection test by immunoassay technique for influenza virus | 14 | 14 | $0 |
Insurance plans in this area (ZIP 99676)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| - | AK | |
| Clinical Social Worker | AK | |
| Internal Medicine | AZ | |
| Physician Assistant | AK | |
| Physician Assistant | AK | |
| Physician Assistant | AK | |
| Nurse Practitioner | AK | |
| Family Practice | AK |
Reviews
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