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Active NPI 1972175321 Individual Practitioner Male Practitioner

Jacob M Johnston

Registered Nurse • Melbourne, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Johnston is a certified Registered Nurse practicing in Melbourne, KY. With approximately 4 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 2022, Jacob Johnston delivers high-quality medical care to the local community at 3543 PROVIDENCE TRACE DR.

Jacob Johnston is affiliated with University Of Cincinnati Physicians Company Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3543 Providence Trace Dr

Melbourne, KY 410599203

Telephone 5136752612

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Melbourne, KY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs Matches City Avg
City Avg: 4.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Melbourne, KY (896 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnston (4 Years) 4 Yrs
Melbourne Specialty Average (4.0 Years) 4.0 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
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
15 15 $423.00 $87.07

Medical Specialties & State Licenses

CMS Verified: 2021-07-14
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License OH 438891

(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

University Of Cincinnati Physicians Company Llc

3188 Bellevue Ave, Cincinnati, OH 452192369

Phone: 5135841000

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 14, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2021

Registered at 3543 PROVIDENCE TRACE DR, MELBOURNE, KY 410599203 (Tel: 5136752612)

📍
Updated Business Mailing Address July 14, 2021

Registered at 3543 PROVIDENCE TRACE DR, MELBOURNE, KY 410599203 (Tel: 5136752612)

👤
Provider Name / Credentials Updated July 14, 2021

Recorded as JACOB JOHNSTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2021

Registered Nurse (License #438891 in OH)

🟢
Initial NPI Registration & Enumeration July 14, 2021

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: 1972175321
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 14, 2021
Last Update: July 14, 2021
Sole Proprietor: No

Mailing Address

3543 Providence Trace Dr

Melbourne, KY 410599203

Phone: 5136752612

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.