Jordan Wyler Johnsen, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6212698-4405 Issued in UT

Practice address

375 N Main St Ste 103
Kaysville, UT 84037-1272

Phone

(801) 876-3749

Fax

(801) 876-3697

NPI assigned

Jun 7, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gary F Holland MD PCGroup PAC ID 2668466350, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• A-Plus Healthcare at Home - Home Health Home health agency, Lehi, UT, CCN 467200
• Canyon Home Care Home health agency, Murray, UT, CCN 467226
• A Plus Healthcare at Home-Hospice Hospice, Lehi, UT, CCN 461545
• St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gary F Holland MD PC

  • Family Medicine Physician
  • Kaysville, UT
  • NPI 1598861999
  Medicare reassignment Care Compare group NPD
• Planned Parenthood Association of Utah

  • Voluntary or Charitable Agency
  • Salt Lake City, UT
  • NPI 1073549614
  NPD (past)
• Planned Parenthood Association of Utah

  • Clinic Pharmacy
  • Ogden, UT
  • NPI 1730670670
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ezra Healthcare

  • Home Health Agency
  • Lehi, UT
  • NPI 1003809369
  Care Compare affiliation
• Ezra Healthcare

  • Community Based Hospice Care Agency
  • Lehi, UT
  • NPI 1790041937

  Home health agency

  Care Compare affiliation
• Home Caregivers Partnership, LLC

  • Home Health Agency
  • Murray, UT
  • NPI 1306899265
  Care Compare affiliation
• St Lukes Regional Medical Center

  • Ambulance
  • Boise, ID
  • NPI 1518115195

  Hospital

  Care Compare affiliation
• St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1770586794
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1144668591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 W 5400 S",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844056835",
            "telephone_number": "801-361-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N MAIN ST STE 103",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371272",
            "telephone_number": "801-876-3749",
            "fax_number": "801-876-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "JORDAN",
        "middle_name": "WYLER",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6212698-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Anne Jasperson, LCSW
• Cynthia S Jenkins, PA-C
• Daniel Jensen, DDS
• Ashlee Jepsen
• Monica Jergensen, LCSW
• Daniel Johnson, PT, DPT, PRPC
• Melanie Johnson
• Nylin J Johnson, PT
• Skylar Johnson
• Meleiana Jolley, LCSW

• Family Nurse Practitioner in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.