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TANDY JOHNSON
NPI 1316393002
Chiropractor in Roscoe, IL

Active since May 11, 2016Accepts Medicare Assignment
8843 ELEVATOR RD, ROSCOE, IL 61073(815) 520-3973 Get Directions Write a Review

NPPES record last updated: May 11, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tandy Johnson NPPES

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

TANDY JOHNSON (NPI 1316393002) is an individual chiropractor in Roscoe, Illinois, licensed in Illinois (038.011908) and active in the NPI registry since May 2016. She is a graduate of Palmer College Chiropractic - Davenport (2005).

NPPES Registry Identity

NPI1316393002
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameTANDY JOHNSON
Location Address8843 ELEVATOR RDRoscoe, IL 61073-7829
Mailing Address8843 Elevator RdRoscoe, IL 61073-7829
Phone(815) 520-3973
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2005
Enumeration DateMay 11, 2016
✔ NPI 1316393002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038.011908
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.
8843 ELEVATOR RD, Roscoe, IL 61073
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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

Tandy Johnson 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 ID3476097460
PECOS Enrollment IDI20240701004112

Medicare Billing Reassignment

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

Paradise Chiropractic And Wellness Center Of Stx
2,178 mi
Chiropractor
ROUTE 38 RAPHUNE HILL AL COHEN PLAZA, 407-8
St. Thomas, VI 00802
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • 3 clinicians in this Medicare group
NPI 1174060982 (340) 714-4325

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.
1,008 services108 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 Tandy Johnson's NPI number?

The NPI number for Tandy Johnson is 1316393002. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Tandy Johnson located?

Tandy Johnson practices at 8843 Elevator Rd, Roscoe, IL 61073. The listed phone number is (815) 520-3973.

What is Tandy Johnson's specialty?

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

Is Tandy Johnson enrolled in Medicare?

Yes. Tandy 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 Tandy Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tandy Johnson reassigns Medicare benefits to Paradise Chiropractic And Wellness Center Of Stx (St. Thomas, VI). 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 Tandy Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tandy Johnson was last updated on May 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.