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Jessica L Johnson

Nurse Practitioner β€’ Rolla, MO

Active NPI 1174449128 Individual Practitioner Female Practitioner
Practice location in NPPES

603 S Bishop Ave
Rolla, MO 654014320

Call 5734264411 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

603 S Bishop Ave

Rolla, MO 654014320

Telephone 5734264411
Fax 5734264403
Organization at the Same NPPES Address or Phone
Usa Radiology Management Solutions Llc Facility NPI 1689091076

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Waynesville, MO. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Jessica Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Rolla and Missouri

14 active clinicians are listed under Nurse Practitioner with a practice address in Rolla, MO (1,721 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rolla

0% of these 14 clinicians have the CMS telehealth indicator.

57.1% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MO 2026028820

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1000 Gw Ln

Waynesville, MO 655832339

Phone: 5738424116

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Raymond Bruno , FNP

Nurse Practitioner - Family

NPI 1023182888

Family Nurse Practitioner

Aaron Cohlmia , CNP

Nurse Practitioner - Family

NPI 1841661170

Certified Nurse Practitioner

Caleb Jones , FNP-C

Nurse Practitioner - Family

NPI 1639814619

Family Nurse Practitioner (Certified)

Latricia Juneau , FNP-C

Nurse Practitioner - Family

NPI 1770171514

Family Nurse Practitioner (Certified)

NPI 1508570326

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner

Travis Turnage

Physician Assistant

NPI 1780344283

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 13, 2026

Registered at 603 S BISHOP AVE, ROLLA, MO 654014320 (Tel: 5734264411)

πŸ“
Updated Business Mailing Address July 13, 2026

Registered at 1050 W 10TH ST, ROLLA, MO 654012905 (Tel: 5733649000)

βœ…
NPI Profile Active June 25, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 25, 2026

Registered at 603 S BISHOP AVE STE C, ROLLA, MO 654014320 (Tel: 5734264411)

πŸ“
Business Mailing Address (Initial Record) June 25, 2026

Registered at 15945 COUNTY ROAD 8140, ROLLA, MO 654015253

πŸ‘€
Provider Name / Credentials (Initial Record) June 25, 2026

Recorded as JESSICA JOHNSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2026

Nurse Practitioner (license number reported to NPPES: MO 2026028820)

🟒
Initial NPI Registration & Enumeration June 25, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174449128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2026
Last Update: July 13, 2026
Sole Proprietor: No

Other Nurse Practitioners in Rolla

All Nurse Practitioners in Rolla

Mailing Address

1050 W 10th St

Rolla, MO 654012905

Phone: 5733649000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.