1. Home
  2. Directory
  3. Wisconsin
  4. La Crosse
  5. Chiropractor
  6. NPI Profile

DR. JERRY LEE JOHNSON D.C.
NPI 1003907817
Chiropractor in La Crosse, WI

Active since September 27, 2006Accepts Medicare Assignment
4312 MORMON COULEE RD, LA CROSSE, WI 54601(608) 788-7111(608) 788-7113 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jerry Lee Johnson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY LEE JOHNSON D.C. (NPI 1003907817) is an individual chiropractor in La Crosse, Wisconsin, licensed in Wisconsin (3987-012) and active in the NPI registry since September 2006. He is a graduate of Palmer College Chiropractic - Davenport (2002).

NPPES Registry Identity

NPI1003907817
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JERRY LEE JOHNSONCredential: D.C.
Location Address4312 MORMON COULEE RDLa Crosse, WI 54601-7908
Mailing AddressPo Box 1891La Crosse, WI 54602-1891 · (608) 788-7111 · Fax (608) 788-7113
Phone(608) 788-7111
Fax(608) 788-7113
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2002
Enumeration DateSeptember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003907817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 3987-012
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4312 MORMON COULEE RD, La Crosse, WI 54601
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerry Lee Johnson D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648266445
PECOS Enrollment IDI20040426000113

Medicare Billing Reassignment

Medicare enrollment records show Jerry Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Johnson Chiropractic, Inc
0.2 mi
Chiropractor
4435 MORMON COULEE RD
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1043332232 (608) 788-4435

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
484 services52 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Johnson's NPI number?

The NPI number for Jerry Johnson is 1003907817. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Jerry Johnson located?

Jerry Johnson practices at 4312 Mormon Coulee Rd, La Crosse, WI 54601. The listed phone number is (608) 788-7111.

What is Jerry Johnson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jerry Johnson enrolled in Medicare?

Yes. Jerry Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jerry Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Johnson reassigns Medicare benefits to Johnson Chiropractic, Inc (La Crosse, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerry Johnson accept?

Health plans from HealthPartners and Quartz list Jerry Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerry Johnson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.