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: August 16, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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.

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.