Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Jeffery L Johnson, PA
Physician Assistant in Eagle, ID · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1609887801
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Registry record
Entity type Individual (Type 1)
Name Jeffery L Johnson
Credential PA
Sex Male
Practice address 3217 W Bavaria Street, Eagle, ID, 83616
Phone (208) 239-1000
Fax (208) 239-2136
Enumeration date Aug 11, 2006
Last updated in NPPES Feb 3, 2021
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA416 (ID) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Jeffery Johnson practice?
The practice location on file with NPPES is in Eagle, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jeffery Johnson?
The National Provider Identifier (NPI) for Jeffery Johnson is 1609887801, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-03.