JORDAN JOHANSON
NPI 1487439212
Nurse Practitioner - Family in Zephyrhills, FL

Q: What is Jordan Johanson's NPI number?

The NPI number for Jordan Johanson is 1487439212. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Q: What is Jordan Johanson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Johanson was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 29, 2023PECOS EnrolledAccepts Medicare Assignment

7050 GALL BLVD, ZEPHYRHILLS, FL 33541(813) 779-1209(813) 779-1216 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 30, 2026, Aug 29, 2023 (2 updates tracked since 2023).

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About Jordan Johanson NPPES

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

JORDAN JOHANSON (NPI 1487439212) is an individual family provider in Zephyrhills, Florida, licensed in Florida (11027082) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Zephyrhills, and maintains a secondary practice location in Zephyrhills.

NPPES Registry Identity

NPI1487439212

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJORDAN JOHANSON

Location Address7050 GALL BLVDZephyrhills, FL 33541-1347

Mailing Address8319 Pine River RdTampa, FL 33637-1011

Phone(813) 779-1209

Fax(813) 779-1216

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 29, 2023

Last NPPES UpdateApril 30, 20262 updates tracked since enumeration

NPPES CertifiedApril 30, 2026

✔ NPI 1487439212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11027082

7050 GALL BLVD, Zephyrhills, FL 33541

Open in Google Maps ↗

Secondary Practice Location 1

Location 138135 Market Square DrZephyrhills, FL 33542-7505 · Phone (813) 780-8440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.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

Jordan Johanson 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 ID7012361090

PECOS Enrollment IDI20230925002349

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jordan Johanson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Zephyrhills Inc

Same address

Multi-Specialty

7050 GALL BLVD
Zephyrhills, FL 33541

Reassigned Medicare billing, Florida enrollment
19 clinicians in this Medicare group

NPI 1639325046 (813) 788-0411

Florida Medical Clinic LLC

0.5 mi

Clinic/Center

38135 MARKET SQUARE
Zephyrhills, FL 33542

Reassigned Medicare billing, Florida enrollment
451 clinicians in this Medicare group

NPI 1821055690 (813) 780-8440

Ohi West Medical Group II LLC

0.5 mi

General Practice

38135 MARKET SQUARE DR
Zephyrhills, FL 33542

Reassigned Medicare billing, Florida enrollment
467 clinicians in this Medicare group

NPI 1982381299 (813) 780-8774

Florida Hospital Physician Group Inc

20 mi

Family Medicine

3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613

Reassigned Medicare billing, Florida enrollment
1,719 clinicians in this Medicare group

NPI 1174955256 (813) 336-5766

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

54 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Florida Hospital Zephyrhills

Acute Care Hospitals · Zephyrhills, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100046

Location7050 Gall BlvdZephyrhills, FL 33541 · Pasco County

Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100173

Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County

Emergency services Birthing friendly

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100319

Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33541 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ASHLEY PATRICE DOLAN

Nurse Anesthetist, Certified Registered