Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Johnson, PA-C

Individual provider Physician Assistant · NPI 1356617021

Jacqueline Johnson, PA-C is a Physician Assistant in Michigan City, Indiana. Qualified in 2006, 20 years ago. Practices with City of Hope Medical Foundation, a 959-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Indiana.

Years since qualifying
20
Licensed in
CA, IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8955 W 400 N
Michigan City, IN 46360-9330
Phone: (219) 861-5800
Fax: (219) 861-5543
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 Duarte Rd, Duarte, CA 91010-3012 — (626) 256-4673

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10005083A (IN)
Physician Assistant Taxonomy 363A00000X · Licence PA22120 (CA)

Record details

NPI number1356617021
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 28, 2012
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice City Of Hope Medical Foundation — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Michigan City