JORDAN RAY JOHNSON MD
NPI 1891357810
Emergency Medicine in Grand Rapids, MI
About Jordan Ray Johnson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN RAY JOHNSON MD (NPI 1891357810) is an individual emergency medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351045598) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Jordan Ray Johnson Md 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health United Hospital
Acute Care Hospitals · Greenville, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MICorewell Health Pennock Hospital
Critical Access Hospitals · Hastings, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 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.
GRAND RAPIDS, MI 49503
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 1891357810. It was assigned to this individual provider in the NPPES registry on June 29, 2019.
Where is Jordan Johnson located?
Jordan Johnson practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 975-1845.
What is Jordan Johnson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
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 Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company 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 Spectrum Health United Hospital, Spectrum Health and Corewell Health Pennock Hospital.
When was this NPI record last updated?
The NPPES record for Jordan Johnson was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 Ray Johnson, MD · NPI 1891357810
Emergency Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 29, 2019.
## Identity
- **NPI:** 1891357810 (Entity type: Individual)
- **Enumerated:** June 29, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 4351045598 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE, Grand Rapids, MI 49503-2560
- **Phone:** (616) 975-1845
## 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:** Other, class of 2019
## Record status
- **NPPES last updated:** February 21, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1891357810) · Data from the CMS NPPES public registry.