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 3 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 Enrolled

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: August 09, 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 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

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

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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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

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