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CHASE JOHNSON
NPI 1083209977
Speech-Language Pathologist in Fargo, ND

Active since March 03, 2021
4152 30TH AVE S, FARGO, ND 58104(701) 364-9070(701) 364-9071 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 15, 2026, Jul 22, 2021, Mar 3, 2021 (3 updates tracked since 2021).

About Chase Johnson NPPES

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

CHASE JOHNSON (NPI 1083209977) is an individual speech-language pathologist provider in Fargo, North Dakota and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1083209977
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameCHASE JOHNSON
Location Address4152 30TH AVE SFargo, ND 58104-8524
Mailing Address2200 20th St SwJamestown, ND 58401-7500 · (701) 252-3850 · Fax (701) 952-1450
Phone(701) 364-9070
Fax(701) 364-9071
Sole ProprietorYes
Enumeration DateMarch 3, 2021
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1083209977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4152 30TH AVE S, Fargo, ND 58104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chase Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Anne Carlsen Center
90 mi
Physical Therapist
2200 20TH ST SW
Jamestown, ND 58401
  • Reassigned Medicare billing, North Dakota enrollment
  • 21 clinicians in this Medicare group
NPI 1598930109 (701) 952-5142

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

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.

LONDON ANDEL
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Cass County (701) 364-2663
SYDNEY M HONEK SLP
Speech-Language Pathologist
4152 30TH AVE S
FARGO, ND 58104
Cass County (701) 551-1750
KINLEY JO NORDIN
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Cass County (701) 364-2663
JULIA ROSE WILMESMEIER
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Cass County (701) 364-2663
GRACE WHELAN
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Cass County (701) 364-2663
JEZZARAE JOY DOVENMUEHLER
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Cass County (701) 364-2663
SIERRA ANN COUNTS
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Cass County (701) 364-2663
ADDISON ROLLER
Behavior Technician
4152 30TH AVE S
FARGO, ND 58104
Cass County (701) 364-2663

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 Chase Johnson's NPI number?

The NPI number for Chase Johnson is 1083209977. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Chase Johnson located?

Chase Johnson practices at 4152 30th Ave S, Fargo, ND 58104. The listed phone number is (701) 364-9070.

What is Chase Johnson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Chase Johnson enrolled in Medicare?

Yes. Chase Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chase Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chase Johnson reassigns Medicare benefits to Anne Carlsen Center (Jamestown, ND). 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 Chase Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chase Johnson accept?

Health plans from Blue Cross Blue Shield of North Dakota list Chase 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 Chase Johnson was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.