Jerrilyn Johnson (NPI# 1568496990, PAC ID# 4183721616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568496990 |
| PAC ID by PECOS | 4183721616 |
| Professional Enrollment ID | I20070517000702 |
| Full Name | Jerrilyn Johnson |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Address |
1245 Cheyenne Ave Suite 301 Grafton WI 53024-9323 |
| Phone Number | 2623772222 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3779471701 |
| Number of Group Practice Members | 289 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520021 | UNITED HOSPITAL SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1400 Scheuring Rd, De Pere, WI 54115-1067 | 9209640229 | FOREFRONT DERMATOLOGY SC |
| 1245 Cheyenne Ave, Suite 301, Grafton, WI 53024-9323 | 2623772222 | FOREFRONT DERMATOLOGY SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 90% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 74% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 78% |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian Wichterman | Dermatology | Forefront Dermatology Sc | 305 E Eisenhower Pkwy, Suite 320, Ann Arbor, MI 48108-3354 |
| Lindsay Michelle Stevens | Nurse Practitioner | Forefront Dermatology Sc | 2246 N Pointe Dr, Warsaw, IN 46582-9042 |
| Miriam Pearl Finkel | Dermatology | Forefront Dermatology Sc | 2790 Mosside Blvd, Suite 720, Monroeville, PA 15146-2757 |
| Stephanie Mathews Kazantsev | Dermatology | Forefront Dermatology Sc | 2051 Plainfield Rd, Crest Hill, IL 60403-1865 |
| Sonam Rama | Dermatology | Forefront Dermatology Sc | 706 W Huron St, Ann Arbor, MI 48103-4212 |
| Danielle Marie Waymire | Dermatology | Forefront Dermatology Sc | 1320 Pabst Farms Cir, Unit 180, Oconomowoc, WI 53066-4878 |
| Marie Saxon Ford | Nurse Practitioner | Forefront Dermatology Sc | 2333 Ring Rd, Elizabethtown, KY 42701-9162 |
| Sarah Campbell | Dermatology | Forefront Dermatology Sc | 913 Menoher Blvd, Johnstown, PA 15905-2834 |
| Gregory Dougan | Physician Assistant | Forefront Dermatology Sc | 911 N Shelby St, Salem, IN 47167-2304 |
| Emily N Williams | Physician Assistant | Forefront Dermatology Sc | 100 N Town Ctr Rd, Suite C, Mooresville, IN 46158-2322 |
| Street Address |
1245 CHEYENNE AVE SUITE 301 |
| City | GRAFTON |
| State | WI |
| Zip | 53024-9323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan A Keiler | Dermatology | Forefront Dermatology Sc | 1245 Cheyenne Ave, Suite 301, Grafton, WI 53024-9323 |
| Nicole J Meunier | Dermatology | Forefront Dermatology Sc | 1245 Cheyenne Ave, Suite 301, Grafton, WI 53024-9323 |
| Kirsten J Antonneau | Physician Assistant | Forefront Dermatology Sc | 1245 Cheyenne Ave, Suite 301, Grafton, WI 53024-9323 |
| Kimberly A Bollmeier | Physician Assistant | Forefront Dermatology Sc | 1245 Cheyenne Ave, Suite 301, Grafton, WI 53024-9323 |
| Candace R Bering | Physician Assistant | Forefront Dermatology Sc | 1245 Cheyenne Ave, Suite 301, Grafton, WI 53024-9323 |
| Marjorie F Yang | Dermatology | Forefront Dermatology Sc | 1245 Cheyenne Ave, Suite 301, Grafton, WI 53024-9323 |
| John R Claussen | Physician Assistant | Forefront Dermatology Sc | 1245 Cheyenne Ave, Suite 301, Grafton, WI 53024-9323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alisa Orel | Registered Dietitian Or Nutrition Professional | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Bennett J Pastika | Gastroenterology | Aurora Medical Group Inc | 215 Washington St, Grafton, WI 53024-1700 |
| Alexandra C Carley | Dermatology | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Norine T Nazareth | Internal Medicine | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Colleen J Reichel | Pediatric Medicine | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| James R Yanke | Physician Assistant | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Charise L Kelm | Physical Therapy | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Sheri E Ramuta | Occupational Therapy | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Sameer K Sharma | Urology | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Thomas R Puetz | Gastroenterology | Aurora Advanced Healthcare Inc | 215 W Washington St, Grafton, WI 53024-1700 |
| Find all physicians in zip 53024 | |||
| City | GRAFTON |
| Zip Code | 53024 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GRAFTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jerrilyn Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.