Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033792155 Individual Practitioner Male Practitioner

Dr. Jessy Charles-James Johnson , DC

Chiropractor • Summit, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jessy Johnson, DC is a certified Chiropractor practicing in Summit, WI. With approximately 5 years of clinical experience since completing medical education in 2021, Dr. Johnson delivers high-quality medical care to the local community at 36500 AURORA DR.

Dr. Johnson is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36500 Aurora Dr

Summit, WI 530664899

Telephone 2624341000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Summit, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Summit, WI (2664 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (5 Years) 5 Yrs
Summit Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98940 Chiropractic manipulative treatment, 1-2 spinal regions
35 14 $85.00 $24.58

Medical Specialties & State Licenses

CMS Verified: 2024-01-03
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License WI 5654-12

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100238257 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

36500 Aurora Dr, Summit, WI 530664899

Phone: 2624345000

Secondary Practice Locations

205 Valley Ave

West Bend, WI 530955312

Phone: 2623381123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Bijan Nezami

Internal Medicine - Critical Care Medicine

NPI 1003201625
Kody Lewis , PA-C

Physician Assistant

NPI 1013144393

Physician Assistant (Certified)

Dr. Vijay Johnson , MD

Internal Medicine - Critical Care Medicine

NPI 1023298072

Doctor of Medicine (M.D.)

Kelly Campbell , ANP-BC

Nurse Practitioner

NPI 1023395118

ANPBC

Dr. Brett Mclachlan , MD

Emergency Medicine

NPI 1023452661

Doctor of Medicine (M.D.)

Lea Van Heule , CAA

Anesthesiologist Assistant

NPI 1023658549

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
👤
Provider Name / Credentials Updated January 03, 2024

Recorded as JESSY JOHNSON, DC

📍
Updated Practice Location June 30, 2023

Registered at 36500 AURORA DR, SUMMIT, WI 530664899 (Tel: 2624341000)

📍
Updated Business Mailing Address June 30, 2023

Registered at PO BOX 735044, CHICAGO, IL 606735044

📍
Updated Practice Location April 10, 2023

Registered at 205 VALLEY AVE, WEST BEND, WI 530955312 (Tel: 2623381123)

📍
Updated Business Mailing Address April 10, 2023

Registered at 205 VALLEY AVE, WEST BEND, WI 530955312 (Tel: 2623381123)

📍
Updated Practice Location September 08, 2021

Registered at 3200 S STONEGATE CIR APT 3, NEW BERLIN, WI 531514579 (Tel: 4142864825)

📍
Updated Business Mailing Address September 08, 2021

Registered at 3200 S STONEGATE CIR APT 3, NEW BERLIN, WI 531514579 (Tel: 4142864825)

👤
Provider Name / Credentials Updated September 08, 2021

Recorded as JESSY GLAUB, D.C.

NPI Profile Active May 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 05, 2021

Registered at 5261 N PORT WASHINGTON RD STE 101, GLENDALE, WI 532174903 (Tel: 4143326001)

📍
Updated Business Mailing Address May 05, 2021

Registered at 5261 N PORT WASHINGTON RD STE 101, GLENDALE, WI 532174903 (Tel: 4143326001)

👤
Provider Name / Credentials Updated May 05, 2021

Recorded as JESSY GLAUB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2021

Chiropractor (License #5654-12 in WI)

🟢
Initial NPI Registration & Enumeration May 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jessy Johnson. Be the first to share your experience!

Sign in to leave a review for Dr. Jessy Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1033792155
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2021
Last Update: January 03, 2024
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.