JORDAN SCOTT JOHNSON DPM
NPI 1548055155
Student in an Organized Health Care Education/Training Program in La Crosse, WI
About Jordan Scott Johnson Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN SCOTT JOHNSON DPM (NPI 1548055155) is an individual student in an organized health care education/training program in La Crosse, Wisconsin and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Scott Johnson Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
LA CROSSE, WI 54601
LA CROSSE, WI 54601
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 Jordan Johnson's NPI number?
The NPI number for Jordan Johnson is 1548055155. It was assigned to this individual provider in the NPPES registry on April 14, 2025.
Where is Jordan Johnson located?
Jordan Johnson practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.
What is Jordan Johnson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jordan Johnson enrolled in Medicare?
Yes. Jordan Johnson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jordan Johnson was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jordan Scott Johnson, DPM · NPI 1548055155
Student in an Organized Health Care Education/Training Program provider in La Crosse, Wisconsin. Individual provider, active in the CMS NPPES registry since April 14, 2025.
## Identity
- **NPI:** 1548055155 (Entity type: Individual)
- **Enumerated:** April 14, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1836 SOUTH AVE, La Crosse, WI 54601-5429
- **Phone:** (608) 782-7300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** April 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548055155) · Data from the CMS NPPES public registry.