Individual provider Active NPI

Jordan E Johnson, DO

  • Orthopaedic Trauma Physician
  • Las Cruces, NM
National Provider Identifier
1700389673
Registry record updated Jul 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
DO2023-0337 Issued in NM
Practice address
4351 E Lohman Ave Ste 301
Las Cruces, NM 88011-8262
Phone
(575) 556-7600
NPI assigned
Mar 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DO2023-0337 NM
Orthopaedic Trauma Physician 207XX0801X DO2023-0337 NM Primary

Addresses

Primary practice location

4351 E Lohman Ave Ste 301
Las Cruces, NM 88011-8262

Mailing address

4351 E Lohman Ave Ste 301
Las Cruces, NM 88011-8262

Other practice location 1

6620 Coyle Ave Ste 212
Carmichael, CA 95608-6337
Phone (916) 536-9455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordan.johnson@mountainviewregional.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20230824000607 NM Practitioner - Orthopedic Surgery 4183087125 Reassigns benefits to 1 organization
I20250113003324 CA Practitioner - Orthopedic Surgery 4183087125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Campbell Univ School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Las Cruces Physician Services LLCGroup PAC ID 8224122759, 104 clinicians

Practice addresses (Care Compare)

1135 S Main St
Suite B
Las Cruces, NM 88005-2946
Phone (505) 525-4000

4301 E Lohman Ave
Las Cruces, NM 88011-8255

4311 E Lohman Ave
Las Cruces, NM 88011-8255

4351 E Lohman Ave
Las Cruces, NM 88011-8260

4371 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 522-7798

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
22421CAMDAddiction (Substance Use Disorder) Counselor
DO2023-0337NMMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Trauma Surgeons of Northern California Orthopaedic Trauma CurrentSince Oct 27, 2024 Accepting new patients
Las Cruces Physician Services LLC Orthopaedic Surgery CurrentSince Sep 1, 2023 Accepting new patients
Familycare Associates,PA Past Accepting new patients

Locations

6620 Coyle Ave
Ste 212
Carmichael, CA 95608
Phone (916) 536-9455

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

4351 E Lohman Ave
Ste 301
Las Cruces, NM 88011
Phone (575) 532-8900

2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868

4351 E Lohman Ave
Ste 201
Las Cruces, NM 88011
Phone (575) 522-2233

1135 S Main St
Ste B
Las Cruces, NM 88005
Phone (505) 522-5205

Interoperability endpoints

  • Direct secure messaging: jordan.johnson.2@1928.direct.athenahealth.com
  • Direct secure messaging: jjohnson688562@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753574400000",
    "number": "1700389673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 301",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 E LOHMAN AVE STE 301",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118262",
            "telephone_number": "575-556-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6620 Coyle Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956086337",
            "country_code": "US",
            "telephone_number": "916-536-9455",
            "fax_number": "916-536-9424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JORDAN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2025-07-27",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "DO2023-0337",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NM",
            "license": "DO2023-0337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan.johnson@mountainviewregional.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4351 E Lohman Ave Ste 300",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880118262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.