JACOB JOHNSON D.O.
NPI 1689055154
Emergency Medicine in Hudson, WI
About Jacob Johnson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB JOHNSON D.O. (NPI 1689055154) is an individual emergency medicine provider in Hudson, Wisconsin, licensed in Wisconsin (71536-21) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Johnson D.o. 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lakeview Memorial Hospital
Acute Care Hospitals · Stillwater, MNAmery Hospital & Clinic
Critical Access Hospitals · Amery, WIHudson Hospital
Critical Access Hospitals · Hudson, WIWestfields Hospital And Clinic
Critical Access Hospitals · New Richmond, WICumberland Memorial Hospital
Critical Access Hospitals · Cumberland, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
HUDSON, WI 54016
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 Jacob Johnson's NPI number?
The NPI number for Jacob Johnson is 1689055154. It was assigned to this individual provider in the NPPES registry on June 10, 2015.
Where is Jacob Johnson located?
Jacob Johnson practices at 405 Stageline Rd, Hudson, WI 54016. The listed phone number is (715) 531-6000.
What is Jacob Johnson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jacob Johnson enrolled in Medicare?
Yes. Jacob 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.
What insurance does Jacob Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield and Medica list Jacob Johnson 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.
Is Jacob Johnson affiliated with any hospitals?
According to CMS data, Jacob Johnson is affiliated with Lakeview Memorial Hospital, Amery Hospital & Clinic, Hudson Hospital, Westfields Hospital And Clinic and Cumberland Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Johnson was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jacob Johnson, D.O. · NPI 1689055154
Emergency Medicine physician in Hudson, Wisconsin. Individual provider, active in the CMS NPPES registry since June 10, 2015.
## Identity
- **NPI:** 1689055154 (Entity type: Individual)
- **Enumerated:** June 10, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 71536-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 STAGELINE RD, Hudson, WI 54016-7848
- **Phone:** (715) 531-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2015
## Record status
- **NPPES last updated:** March 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689055154) · Data from the CMS NPPES public registry.