DR. JESSY CHARLES-JAMES JOHNSON DC
NPI 1033792155
Chiropractor in Summit, WI

Active since May 05, 2021Accepts Medicare Assignment
36500 AURORA DR, SUMMIT, WI 53066(262) 434-1000 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2024, Dec 13, 2023, Jul 13, 2023 and 3 more (6 updates tracked since 2021).

About Dr. Jessy Charles-james Johnson Dc NPPES

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

DR. JESSY CHARLES-JAMES JOHNSON DC (NPI 1033792155) is an individual chiropractor in Summit, Wisconsin, licensed in Wisconsin (5654-12) and active in the NPI registry since May 2021. He maintains a secondary practice location in West Bend and is a graduate of Other (2021).

NPPES Registry Identity

NPI1033792155
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JESSY CHARLES-JAMES JOHNSONCredential: DC
Location Address36500 AURORA DRSummit, WI 53066-4899
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 5, 2021
Last NPPES UpdateJanuary 3, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
NPI 1033792155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 5654-12
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.
36500 AURORA DR, Summit, WI 53066

Other Names 1

Former Name (1)Dr. Jessy Glenn Glaub Dc

Secondary Practice Location 1

Location 1205 Valley AveWest Bend, WI 53095-5312 · Phone (262) 338-1123 · Fax (262) 338-7684

Other Identifiers 1

Medicaid100238257WI

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. Jessy Charles-james Johnson Dc 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 ID5496164790
PECOS Enrollment IDI20210517000667

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, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
35 services14 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Hospitalist
36500 AURORA DR
SUMMIT, WI 53066
Physician Assistant
36500 AURORA DR
SUMMIT, WI 53066
Preventive Medicine (Undersea and Hyperbaric Medicine)
36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066
Physical Therapist
36500 AURORA DR
SUMMIT, WI 53066
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Nurse Practitioner
36500 AURORA DR
SUMMIT, WI 53066
Emergency Medicine
36500 AURORA DR
SUMMIT, WI 53066

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 Jessy Johnson's NPI number?

The NPI number for Jessy Johnson is 1033792155. It was assigned to this individual provider in the NPPES registry on May 5, 2021. The provider is also known as Dr. Jessy Glenn Glaub Dc.

Where is Jessy Johnson located?

Jessy Johnson practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-1000.

What is Jessy Johnson's specialty?

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

Is Jessy Johnson enrolled in Medicare?

Yes. Jessy 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 Jessy Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 1 other insurer list Jessy 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 Jessy Johnson was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.