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

Jennifer Johnson, PA

Individual provider Surgical Physician Assistant · NPI 1235126962

Jennifer Johnson, PA is a Physician Assistant in Westmont, Illinois. Qualified in 2000, 26 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

303 W Ogden Ave Fl 2
Westmont, IL 60559-1419
Phone: (630) 790-1872
Fax: (630) 968-3762
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085001394 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085001394 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1235126962
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2005
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023
Mailing addressPo Box 713260, Chicago, IL 60677-1260

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Dupage Medical Group Ltd — 1328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Westmont