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Active NPI 1003359951 Individual Practitioner Female Practitioner

Jacqueline Johnson , AGNP

Nurse Practitioner - Gerontology • Miami, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jacqueline Johnson, AGNP is a certified Nurse Practitioner - Gerontology practicing in Miami, FL. With approximately 7 years of clinical experience since completing medical education in 2019, Jacqueline Johnson delivers high-quality medical care to the local community at 1501 BISCAYNE BLVD.

Jacqueline Johnson is affiliated with Memorial Hermann Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include removal of impacted ear wax, telephone medical discussion provided by nonphysician professional, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1501 Biscayne Blvd

Miami, FL 331321449

Telephone 8877870032
Fax 8664273798

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Miami, FL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs +0.8 yrs vs City Avg
City Avg: 6.2 Yrs
State Avg: 7.8 Yrs
Regional Practice Density
71 Specialists

Practicing in Miami, FL (1058 Statewide)

Telehealth Adoption Rate
18.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
42.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (7 Years) 7 Yrs
Miami Specialty Average (6.2 Years) 6.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
69210 Removal of impacted ear wax
121 95 $50.00 $43.04
98967 Telephone medical discussion provided by nonphysician professional, 11-20 minutes
109 91 $60.41 $21.30
99443 Telephone medical discussion with physician, 21-30 minutes
84 73 $160.00 $115.48
98968 Telephone medical discussion provided by nonphysician professional, 21-30 minutes
45 38 $120.00 $29.59
99442 Telephone medical discussion with physician, 11-20 minutes
17 12 $110.00 $79.36

Medical Specialties & State Licenses

CMS Verified: 2026-05-25
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License TX AP143029

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License TX 81-4360797

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Memorial Hermann Medical Group

915 Gessner Rd, Houston, TX 770242537

Phone: 7132422222

Memorial Hermann Medical Group

3501 W Holcombe Blvd, Houston, TX 770251313

Phone: 7138142680

Memorial Hermann Medical Group

3525 W Holcombe Blvd, Houston, TX 770251313

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Stacy Pleasant

Nurse Practitioner - Family

NPI 1073929238
Anna Suarez , FNP-BC

Nurse Practitioner - Family

NPI 1083562011

Family Nurse Practitioner (Board Certified)

Sarah Fulaytar , APRN

Nurse Practitioner - Family

NPI 1356721179

Advanced Practice Registered Nurse

Stephanie Frimpong-Badu , FNP

Nurse Practitioner - Family

NPI 1467645234

Family Nurse Practitioner

Kajal Dhawan , FNP-BC

Nurse Practitioner - Family

NPI 1548087141

Family Nurse Practitioner (Board Certified)

Michelle Shiwcharan , NP

Nurse Practitioner - Family

NPI 1558855114

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location May 25, 2026

Registered at 1501 BISCAYNE BLVD, MIAMI, FL 331321449 (Tel: 8877870032)

📍
Updated Business Mailing Address May 25, 2026

Registered at 317 W RUTHERFORD ST, MOUNT VERNON, TX 754573253 (Tel: 5015399916)

📍
Updated Business Mailing Address October 13, 2025

Registered at 3525 W HOLCOMBE BLVD, HOUSTON, TX 770251313 (Tel: 7138142800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2025

Registered Nurse (License #81-4360797 in TX)

📍
Updated Practice Location September 27, 2019

Registered at 822 RED TIP DR, ALLEN, TX 750025023 (Tel: 5014168045)

📍
Updated Business Mailing Address September 27, 2019

Registered at 822 RED TIP DR, ALLEN, TX 750025023 (Tel: 5014168045)

👤
Provider Name / Credentials Updated September 27, 2019

Recorded as JACQUELINE JOHNSON, AGNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2019

Licensed Vocational Nurse (License #81-4360797 in TX)

NPI Profile Active November 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2016

Registered at 1440 CARROLLTON PKWY, 8207, CARROLLTON, TX 750101399 (Tel: 5014168045)

📍
Updated Business Mailing Address November 27, 2016

Registered at 1440 CARROLLTON PKWY, 8207, CARROLLTON, TX 750101399 (Tel: 5014168045)

👤
Provider Name / Credentials Updated November 27, 2016

Recorded as JACQUELINE JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2016

Registered Nurse (License #81-4360797 in TX)

🟢
Initial NPI Registration & Enumeration November 27, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003359951
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2016
Last Update: May 25, 2026
Sole Proprietor: Yes

Mailing Address

317 W Rutherford St

Mount Vernon, TX 754573253

Phone: 5015399916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.