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

Jessica Johnson, PA

Individual provider Physician Assistant · NPI 1114650033

Jessica Johnson, PA is a Physician Assistant in Spearfish, South Dakota. Qualified in 2022, 4 years ago. Practices with Pella Regional Health Center, a 94-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
4
Licensed in
SD
In the registry since
2022
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

1420 N 10th St
Spearfish, SD 57783-1532
Phone: (605) 717-8595
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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 1375 (SD)

Record details

NPI number1114650033
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 7, 2022
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022
Mailing address227 Evans Ln, Spearfish, SD 57783-1130

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pella Regional Health Center — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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