MR. JORDAN DAVID JOHNSON PA
NPI 1801471859
Physician Assistant in Edina, MN

Active since March 11, 2021PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
8100 W 78TH ST STE 230, EDINA, MN 55439(952) 946-9777(952) 946-9888 Get Directions Write a Review

NPPES record last updated: May 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2023, Mar 19, 2023, Oct 24, 2022 and 1 more (4 updates tracked since 2021).

About Mr. Jordan David Johnson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JORDAN DAVID JOHNSON PA (NPI 1801471859) is an individual physician assistant in Edina, Minnesota and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Cambridge Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801471859
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JORDAN DAVID JOHNSONCredential: PA
Location Address8100 W 78TH ST STE 230Edina, MN 55439-2570
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Fax(952) 946-9888
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 11, 2021
Last NPPES UpdateMay 24, 20234 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
NPI 1801471859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8100 W 78TH ST STE 230, Edina, MN 55439

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

Mr. Jordan David Johnson Pa 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.

PECOS PAC ID941685358
PECOS Enrollment IDI20220921003299
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.
21 services17 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cambridge Medical Center

Acute Care Hospitals · Cambridge, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240020
Location701 South Dellwood AvenueCambridge, MN 55008 · Isanti County
Emergency services

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55439 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Nurse Practitioner (Adult Health)
8100 W 78TH ST STE 230
EDINA, MN 55439
Podiatrist
8100 W 78TH ST STE 230
EDINA, MN 55439
Occupational Therapist
8100 W 78TH ST STE 230
EDINA, MN 55439
Orthopaedic Surgery
8100 W 78TH ST STE 230
EDINA, MN 55439
Physician Assistant (Medical)
8100 W 78TH ST STE 230
EDINA, MN 55439
Specialist/Technologist (Athletic Trainer)
8100 W 78TH ST STE 230
EDINA, MN 55439
Occupational Therapist
8100 W 78TH ST STE 230
EDINA, MN 55439
Physician Assistant
8100 W 78TH ST STE 230
EDINA, MN 55439

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 1801471859. It was assigned to this individual provider in the NPPES registry on March 11, 2021.

Where is Jordan Johnson located?

Jordan Johnson practices at 8100 W 78th St Ste 230, Edina, MN 55439. The listed phone number is (952) 946-9777.

What is Jordan Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Johnson enrolled in Medicare?

Yes. Jordan 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 Jordan Johnson accept?

Health plans from HealthPartners and Medica list Jordan 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 Jordan Johnson affiliated with any hospitals?

According to CMS data, Jordan Johnson is affiliated with Cambridge Medical Center, Abbott Northwestern Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Johnson was last updated on May 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.