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

Jessica Johnson

Individual provider Physician Assistant · NPI 1821866690

Jessica Johnson is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2023, 3 years ago. Practices with Regions Hospital, a 219-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2595
Phone: (651) 254-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 927 Churchill St W, Stillwater, MN 55082-6605 — (651) 430-4529

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1821866690
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 12, 2023
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024
Mailing address16729 Crocus St Nw, Andover, MN 55304-2061

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Regions Hospital — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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