MR. JORDAN WYLER JOHNSEN FNP-BC NPI 1144668591

NPI Information

  • NPI: 1144668591
  • Provider Name: MR. JORDAN WYLER JOHNSEN, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 746 E WINCHESTER ST STE 230
    MURRAY, UT
    ZIP 84107
  • Phone: (801) 456-2333

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NPI Details

MR. Jordan Wyler Johnsen, FNP-BC is a family nurse practitioner in Murray, UT with 13 years of experience. MR. Jordan Wyler Johnsen, FNP-BC NPI is 1144668591. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

746 E WINCHESTER ST STE 230
MURRAY, UT
ZIP 84107-528
Phone: (801) 456-2333

The NPI 1144668591 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow (HCPCS:G0181)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Extended office or other outpatient service, first hour (HCPCS:99354)
  • Assessment of and care planning for impaired thought processing, typically 50 minutes (HCPCS:99483)
  • New patient home visit, typically 75 minutes (HCPCS:99345)

The enumeration date for this NPI number is 6/7/2013 and was last updated on 7/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily6212698-4405UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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