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Active NPI 1467229666 Individual Practitioner Male Practitioner

Jack Alexander Johnson , PA-C

Physician Assistant • Des Moines, IA

Professional Overview & Biography Verified Profile Summary

Jack Johnson, PA-C is a registered healthcare professional specializing in Physician Assistant in Des Moines, IA. Practice services are available at 1200 PLEASANT ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1200 Pleasant St

Des Moines, IA 503091406

Telephone 5152416962
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Des Moines, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.4 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
182 Specialists

Practicing in Des Moines, IA (1543 Statewide)

Telehealth Adoption Rate
4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
98 97 $277.06 $94.25
99285 Emergency department visit for life threatening or functioning severity
86 86 $402.05 $136.53
99283 Emergency department visit with low level of medical decision making
13 13 $163.23 $55.35

Medical Specialties & State Licenses

CMS Verified: 2026-04-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Jennifer Morgan , PA-C

Physician Assistant - Medical

NPI 1366608705

Physician Assistant (Certified)

Jacob Moss , PA

Physician Assistant

NPI 1538934120

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated April 11, 2026

Recorded as JACK JOHNSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2026

Physician Assistant

NPI Profile Active December 07, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2023

Registered at 1200 PLEASANT ST, DES MOINES, IA 503091406 (Tel: 5152416962)

📍
Updated Business Mailing Address December 07, 2023

Registered at 5032 WISTFUL VISTA DR, WEST DES MOINES, IA 502656922 (Tel: 5157835022)

👤
Provider Name / Credentials Updated December 07, 2023

Recorded as JACK JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration December 07, 2023

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: 1467229666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2023
Last Update: April 11, 2026
Sole Proprietor: No

Mailing Address

5032 Wistful Vista Dr

West Des Moines, IA 502656922

Phone: 5157835022

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.