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Active NPI 1811488430 Individual Practitioner Female Practitioner

Jaclyn A Johnson , RD

Dietitian, Registered • Willmar, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jaclyn Johnson, RD is a certified Dietitian, Registered practicing in Willmar, MN. With approximately 10 years of clinical experience since graduating from University Of Minnesota Medical School in 2016, Jaclyn Johnson delivers high-quality medical care to the local community at 1604 1ST ST S.

Jaclyn Johnson is affiliated with Centracare Clinic Southwest Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include diabetes outpatient self-management training services, individual, per, medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1604 1st St S

Willmar, MN 562014243

Telephone 3202316348
Fax 3202315067
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Willmar, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -5.3 yrs vs City Avg
City Avg: 15.3 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Willmar, MN (1611 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (10 Years) 10 Yrs
Willmar Specialty Average (15.3 Years) 15.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
164 76 $206.04 $52.98
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
49 18 $142.84 $30.36

Medical Specialties & State Licenses

CMS Verified: 2023-05-25
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MN 3952

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Hospital & Practice Group Affiliations

Centracare Clinic Southwest Llc

600 Peterson Pkwy, New London, MN 562737823

Phone: 3203542222

Centracare Clinic Southwest Llc

1604 1st St S, Willmar, MN 562014243

Phone: 3202315000

Centracare Clinic Southwest Llc

101 Willmar Ave Sw, Willmar, MN 562013556

Phone: 3202315000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Frances Antkowiak , APNP

Nurse Practitioner

NPI 1003837196

Advanced Practice Nurse Prescriber

Dr. Patricia Daquila , MD

Internal Medicine

NPI 1003863473

Doctor of Medicine (M.D.)

NPI 1013087030

Doctor of Audiology

NPI 1013983337

Doctor of Medicine (M.D.)

NPI 1023084332

Doctor of Medicine (M.D.)

Dr. Lachlan Smith , MD

Obstetrics & Gynecology

NPI 1023084753

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated February 22, 2022

Recorded as JACLYN JOHNSON, RD

NPI Profile Active May 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2018

Registered at 1604 1ST ST S, WILLMAR, MN 562014243 (Tel: 3202316348)

📍
Updated Business Mailing Address May 21, 2018

Registered at 1604 1ST ST S, WILLMAR, MN 562014243 (Tel: 3202316348)

👤
Provider Name / Credentials Updated May 21, 2018

Recorded as JACLYN SCHERMER, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2018

Dietitian, Registered (License #3952 in MN)

🟢
Initial NPI Registration & Enumeration May 21, 2018

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: 1811488430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2018
Last Update: May 25, 2023
Sole Proprietor: No

Mailing Address

1604 1st St S

Willmar, MN 562014243

Phone: 3202316348

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.