JORDAN JOHNSON M. ED CCC-SLP
NPI 1710399423
Speech-Language Pathologist in Fox Point, WI
About Jordan Johnson M. Ed Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN JOHNSON M. ED CCC-SLP (NPI 1710399423) is an individual speech-language pathologist provider in Fox Point, Wisconsin and active in the NPI registry since May 2014. She maintains a secondary practice location in Milwaukee.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Johnson M. Ed Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 96 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 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.
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 1710399423. It was assigned to this individual provider in the NPPES registry on May 29, 2014.
Where is Jordan Johnson located?
Jordan Johnson practices at 8221 N Mohawk Rd, Fox Point, WI 53217. The listed phone number is (815) 871-9570.
What is Jordan Johnson's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Jordan Johnson enrolled in Medicare?
Yes. Jordan Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Johnson reassigns Medicare benefits to Paxxon Healthcare Services LLC (Menomonee Falls, WI). The 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 Jordan Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jordan Johnson was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.