EDWARD JOHNNIE DC
NPI 1528096054
Chiropractor in O Fallon, MO
About Edward Johnnie Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD JOHNNIE DC (NPI 1528096054) is an individual chiropractor in O Fallon, Missouri, licensed in Missouri (2000146684) and active in the NPI registry since June 2006. He is a graduate of Logan College Of Chiropractic (1999).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Edward Johnnie 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edward Johnnie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
O Fallon, MO 63366
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Ed Johnnie LLC
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 17 clinicians in this Medicare group
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edward Johnnie's NPI number?
The NPI number for Edward Johnnie is 1528096054. It was assigned to this individual provider in the NPPES registry on June 30, 2006.
Where is Edward Johnnie located?
Edward Johnnie practices at 1137 N Main St Ste 1, O Fallon, MO 63366. The listed phone number is (636) 294-4530.
What is Edward Johnnie's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Edward Johnnie enrolled in Medicare?
Yes. Edward Johnnie 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 organizations bill Medicare for Edward Johnnie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Johnnie reassigns Medicare benefits to 2 organizations: E.D. Johnnie LLC (O Fallon, MO) and Logan University (Chesterfield, MO). Each 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 Edward Johnnie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Johnnie accept?
Health plans from Medica list Edward Johnnie 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 Edward Johnnie was last updated on March 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Edward Johnnie, DC · NPI 1528096054
Chiropractor provider in O Fallon, Missouri. Individual provider, active in the CMS NPPES registry since June 30, 2006.
## Identity
- **NPI:** 1528096054 (Entity type: Individual)
- **Enumerated:** June 30, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2000146684 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1137 N MAIN ST STE 1, O Fallon, MO 63366-1498
- **Phone:** (636) 294-4530
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): E.D. Johnnie LLC (NPI 1740567577, O Fallon, MO); Logan University (NPI 1194765941, Chesterfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 1999
## Record status
- **NPPES last updated:** March 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1528096054) · Data from the CMS NPPES public registry.