Jacob M. Johnston
NPI 1972175321ActiveIndividual· Registered Nurse· Melbourne, KY
Registered Nurse in Melbourne, Kentucky, trained at University of Cincinnati College of Medicine (class of 2022). Medicare paid $6,251 for services to 57 patients in 2024.
Overview
| NPI | 1972175321 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 14, 2021 |
| Last updated in NPPES | Jul 14, 2021 |
| Certified by provider | Jul 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse Primary | 163W00000X | 438891 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 57 |
|---|---|
| Services billed | 58 across 25 procedure codes |
| Paid by Medicare | $6,251 |
Education and affiliations
| Medical school | University of Cincinnati College of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- University of Cincinnati Physicians Company LLCCincinnati, OH · 1,506 clinicians
Hospital affiliation
- University of Cincinnati Medical Center, LLCCincinnati, OH
Other Registered Nurse providers in Melbourne
- 1427318872