JACQUELYN JOHNSTON (PA) – Physician Assistant, NPI 1316385271

JACQUELYN JOHNSTON (PA) is a healthcare provider. based in Newton, Iowa. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 002403 (IA). The NPI Number for JACQUELYN JOHNSTON (PA) is 1316385271

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
JACQUELYN JOHNSTON (PA)
NPI
1316385271
Phone
(641) 792-4012
Address
306 N 3RD AVE E
Enumeration Date
12 June 2013
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6415286065
Graduation Year
2013 (13 years ago)
PAC ID
7719121235
Group Practice PAC ID
0648169573
Professional Enrollment ID
I20130923000413
Address ID
IA501121833GR200XXWXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,648 PHYSICIAN ASSISTANT in IA

Provider Addresses for JACQUELYN JOHNSTON (PA)

  • 306 N 3RD AVE E

    NEWTON, IA 502083249

    Phone: (641) 792-4012

    Fax: (641) 791-0697

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $837.

Total Amount is formed as General ($837) + Research ($0) + Ownership ($0) = $837.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($207).

Total Amount

$837

General + Research + Ownership

Payments

51

Total payment records

General Amount

$837

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-09-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130923000413IPhysician AssistantIATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648169573View full group profile
NameSpecialtyState
Mental Health CounselorIA
-IA
-IA
Nurse PractitionerIA
Physician AssistantIA
Physician AssistantIA
P S Y C H I A T R YIA
Clinical Social WorkerIA
-IA
Mental Health CounselorIA

Reviews

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Frequently asked questions

How is JACQUELYN JOHNSTON (PA) identified in CMS data?
CMS-hosted NPPES data lists JACQUELYN JOHNSTON (PA) with NPI 1316385271.
Can I rely on JACQUELYN JOHNSTON (PA) being an active provider?
As of the registry snapshot, JACQUELYN JOHNSTON (PA) is marked active.
What healthcare role does JACQUELYN JOHNSTON (PA) hold?
Scheduling teams often label JACQUELYN JOHNSTON (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect JACQUELYN JOHNSTON (PA) on a map?
Expect Newton, Iowa as a primary anchor for JACQUELYN JOHNSTON (PA) unless the record lists multiple sites.
Is the information about JACQUELYN JOHNSTON (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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