Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Jacob M Johnston

Individual provider Registered Nurse · NPI 1972175321

Mr. Jacob M Johnston is registered under Certified Registered Nurse Anesthetist (CRNA) in Melbourne, Kentucky. Graduated from University of Cincinnati College of Medicine in 2022, 4 years ago. Practices with University of Cincinnati Physicians Company LLC, a 1,476-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2021
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Practice location Address checks out

3543 Providence Trace Dr
Melbourne, KY 41059-9203
Phone: (513) 675-2612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 438891 (OH)

Record details

NPI number1972175321
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 14, 2021
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice University Of Cincinnati Physicians Company Llc — 1476 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients57
Services billed 58 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at University of Cincinnati Physicians Company LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1476 clinicians in the practice; 12 are shown here.

Other providers in Melbourne