Kelly Jackson Johnson, PA-C
NPI 1235412982ActiveIndividual· Physician Assistant· Herrin, IL
Physician Assistant (PA-C) in Herrin, Illinois, licensed in KY, with an NPI issued in September 2011. In 2024 Medicare paid $3,247 for 45 patients, and Part D covered 52 of their prescriptions, 85% of them generic.
Overview
| NPI | 1235412982 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 20, 2011 |
| Last updated in NPPES | Feb 23, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA1637 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 104 across 14 procedure codes |
| Paid by Medicare | $3,247 |
Part D prescriptions in 2024
| Prescriptions (claims) | 52 · 52 30-day fills |
|---|---|
| Patients | 43 |
| Total drug cost | $526.57 |
| Generic share | 85% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 29 physician assistants in Herrin · All physician assistants in Illinois