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

NPI Status: Active since March 11, 2021

Contact Information

8100 W 78TH ST STE 230
EDINA, MN
ZIP 55439
Phone: (952) 946-9777
Fax: (952) 946-9888

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  • Individual
  • Male
  • Years of Experience 4
  • Physician Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JORDAN JOHNSON

This page provides the complete NPI Profile along with additional information for Jordan Johnson, a primary care provider established in Edina, Minnesota with a medical specialization in Physician Assistant and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1801471859 assigned on March 2021. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1801471859
Provider Name
MR. JORDAN DAVID JOHNSON PA
Gender
Male
Entity Type
Individual
Location Address
8100 W 78TH ST STE 230 EDINA, MN 55439
Location Phone
(952) 946-9777
Location Fax
(952) 946-9888
Mailing Address
2925 CHICAGO AVE MINNEAPOLIS, MN 55407
Mailing Phone
(612) 262-9000
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
03-11-2021
Last Update Date
05-24-2023
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A primary care provider (PCP) like Jordan Johnson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO
  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jordan Johnson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jordan Johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 941685358

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220921003299

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.45 for a new patient copayment and $17.43 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55439 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.74
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $17.43
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jordan Johnson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ABBOTT NORTHWESTERN HOSPITAL800 EAST 28TH STREET
MINNEAPOLIS, MN 55407
(612) 863-4000Acute Care Hospitals
MERCY HOSPITAL4050 COON RAPIDS BLVD
COON RAPIDS, MN 55433
(762) 236-8100Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801471859
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801872810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 8 + 7 + 2 + 8 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1801471859 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922131119 MAUREEN ANN TORNEY OT
Individual
Occupational Therapist8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1689646853DR. VINTON DOUGLAS PIERCE JR. MD
Individual
Orthopaedic Surgery8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1487675930 JOHN W BELLATTI M.D.
Individual
Orthopaedic Surgery8100 W 78TH ST STE 230
EDINA, MN 55439
(888) 892-7575
1801239249DR. JOSEPH DENIS SCHIRMERS M.D.
Individual
Orthopaedic Surgery8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1275090680 MOLLY MAE GIEBEL PA-C
Individual
Physician Assistant (Surgical)8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1437128428 BRETT MICHAEL OSGOOD PA-C
Individual
Physician Assistant8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1427158427 PARESH SUBASHCHANDRA GHODGE MD
Individual
Family Medicine (Sports Medicine)8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1720481245 COURTNEY L DUFFY PA-C
Individual
Physician Assistant8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1932336864 ALLISON WICHMANN PETERSEN PA
Individual
Physician Assistant8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1720547920 LEAH NICOLE AGNEBERG PA-C
Individual
Physician Assistant8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1053651109 MARGARET KELLER ACHU MA, OTR/L
Individual
Occupational Therapist8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1649336975 ROBERT WILLIAM TUTTLE MD
Individual
Orthopaedic Surgery8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1073865465 MICHAEL JOEL MASTOUS PA-C
Individual
Physician Assistant (Medical)8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1891201984 MADELINE K JOHNSON PA-C
Individual
Physician Assistant8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1841237872 LAURIE B FERRI OT
Individual
Occupational Therapist8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1962889972 LAUREN ZUREK M.D.
Individual
Orthopaedic Surgery8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1306137047DR. BISHOY GAD MD, MS, MBA
Individual
Orthopaedic Surgery8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9700
1346682648MRS. MELISSA STENZEL ATC
Individual
Specialist/Technologist (Athletic Trainer)8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1124783709 DYLAN H JACKSON PA
Individual
Physician Assistant8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777
1023782497 STEPHEN SWENSON CNP
Individual
Nurse Practitioner (Adult Health)8100 W 78TH ST STE 230
EDINA, MN 55439
(952) 946-9777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801471859, enumerated in the NPI registry as an "individual" on March 11, 2021

The provider is located at 8100 W 78th St Ste 230 Edina, Mn 55439 and the phone number is (952) 946-9777

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 4 years of experience.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $85.82 with an average copayment of $21.45 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): ABBOTT NORTHWESTERN HOSPITAL and MERCY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 11, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.