Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Lynn Johnson, PA-C, MS

Individual provider Physician Assistant · NPI 1194020511

Jessica Lynn Johnson, PA-C, MS is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Pinnacle Physicians Group LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

12401 Academy Rd Ste 203
Philadelphia, PA 19154-1934
Phone: (215) 637-3100
Fax: (215) 637-7310
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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 OA002597 (PA)

Record details

NPI number1194020511
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MS
Sole proprietorNo
NPI enumeratedJanuary 14, 2011
Last updated in NPPESJuly 22, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Pinnacle Physicians Group Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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