Jacob Johnson, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

71536-21 Issued in WI

Practice address

405 Stageline Rd
Hudson, WI 54016-7848

Phone

(715) 531-6000

NPI assigned

Jun 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Emergency Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Westfields Hospital and Clinic Hospital, New Richmond, WI, CCN 521345
• Hudson Hospital Hospital, Hudson, WI, CCN 521335
• Amery Hospital & Clinic Hospital, Amery, WI, CCN 521308
• Cumberland Memorial Hospital Hospital, Cumberland, WI, CCN 521353
• Lakeview Memorial Hospital Hospital, Stillwater, MN, CCN 240066

Merit-based Incentive Payment System (MIPS)

Final score

94.85 of 100Reported as group

Quality

89.04

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Group Health, Inc.

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683

  MN, WI

  Medicare reassignment Care Compare group NPD
• Amery Regional Medical Center, Inc.

  • Critical Access Hospital
  • Amery, WI
  • NPI 1093763518

  WI

  Medicare reassignment NPD
• Black River Health Inc

  • Critical Access Hospital
  • Black River Falls, WI
  • NPI 1811940331

  WI

  Medicare reassignment NPD
• Hudson Hospital, Inc.

  • Critical Access Hospital
  • Hudson, WI
  • NPI 1396849303

  WI

  Medicare reassignment NPD
• St. Croix Regional Medical Center

  • Critical Access Hospital
  • Saint Croix Falls, WI
  • NPI 1043240922

  WI

  Medicare reassignment NPD
• Westfields Hospital, Inc.

  • Critical Access Hospital
  • New Richmond, WI
  • NPI 1881640183

  WI

  Medicare reassignment NPD
• Lakeview Memorial Hospital Association Inc.

  • Neonatal Nurse Practitioner
  • Stillwater, MN
  • NPI 1821114729

  Emergency Medicine, MN

  Medicare reassignment NPD
• Regions Hospital

  • Emergency Medicine Physician
  • Saint Paul, MN
  • NPI 1154359917

  Emergency Medicine, MN

  Medicare reassignment NPD
• Cumberland Memorial Hospital Inc

  • Critical Access Hospital
  • Cumberland, WI
  • NPI 1831243757

  WI

  Medicare reassignment
• Group Health Inc

  • Community/Retail Pharmacy
  • St Louis Park, MN
  • NPI 1104360973
  Care Compare group
• Group Health, Inc.

  • Durable Medical Equipment & Medical Supplies
  • St Louis Park, MN
  • NPI 1194886002
  Care Compare group
• Group Health, Inc.

  • Clinical Medical Laboratory
  • Eden Prairie, MN
  • NPI 1215048913
  Care Compare group

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

• Amery Regional Medical Center, Inc.

  • Critical Access Hospital
  • Amery, WI
  • NPI 1093763518

  Hospital

  Care Compare affiliation
• Amery Regional Medical Center, Inc.

  • Rural Health Clinic/Center
  • Clear Lake, WI
  • NPI 1366878449

  Hospital

  Care Compare affiliation
• Amery Regional Medical Center, Inc.

  • Rural Health Clinic/Center
  • Turtle Lake, WI
  • NPI 1538384466

  Hospital

  Care Compare affiliation
• Amery Regional Medical Center, Inc.

  • Rural Health Clinic/Center
  • Luck, WI
  • NPI 1851345268

  Hospital

  Care Compare affiliation
• Cumberland Memorial Hospital Inc

  • Critical Access Hospital
  • Cumberland, WI
  • NPI 1831243757

  Hospital

  Care Compare affiliation
• Hudson Hospital, Inc.

  • Critical Access Hospital
  • Hudson, WI
  • NPI 1396849303

  Hospital

  Care Compare affiliation
• Westfields Hospital, Inc.

  • Critical Access Hospital
  • New Richmond, WI
  • NPI 1881640183

  Hospital

  Care Compare affiliation
• Lakeview Memorial Hospital Association Inc

  • General Acute Care Hospital
  • Stillwater, MN
  • NPI 1538138003

  Hospital

  Care Compare affiliation
• Lakeview Memorial Hospital Association Inc

  • Land Ambulance
  • Stillwater, MN
  • NPI 1730213653

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1689055154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 STEVENSVILLE BARODA RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279782",
            "telephone_number": "715-497-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STAGELINE RD",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167848",
            "telephone_number": "715-531-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "WI",
            "postal_code": "548298601",
            "country_code": "US",
            "telephone_number": "715-822-7500",
            "fax_number": "715-822-7221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1234 Napier avenue",
            "address_2": "Lakeland Health-GME",
            "address_purpose": "LOCATION",
            "city": "Saint joseph",
            "state": "MI",
            "postal_code": "49085",
            "country_code": "US",
            "telephone_number": "269-982-4941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Griffin St E",
            "address_purpose": "LOCATION",
            "city": "Amery",
            "state": "WI",
            "postal_code": "540011439",
            "country_code": "US",
            "telephone_number": "715-268-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171449",
            "country_code": "US",
            "telephone_number": "715-243-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012502",
            "country_code": "US",
            "telephone_number": "651-254-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACOB",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "71536-21",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101022137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Jean Johanneck, PSY.D., M.DIV.
• Brooke Catherine John
• Michele Johnsen
• Eric Johnson, PHARMD
• Heather Nicole Johnson
• Jennifer Renee Johnson, RN
• Kathleen O'Keefe Johnson, OTA L
• Kristine Anne Johnson, NP-C
• Mariah Johnson, DDS
• Samantha Johnson, MS, CCC-SLP

• All providers in Hudson, WI
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.