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

Jennifer Johnson, PA-C

Individual provider Physician Assistant · NPI 1194763995

Jennifer Johnson, PA-C is a Physician Assistant in Rapid City, South Dakota. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
24
Licensed in
SD
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

101 E Minnesota St
Rapid City, SD 57701-7756
Phone: (605) 342-3280
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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 0510 (SD)

Record details

NPI number1194763995
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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