Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Johnson, DO

Individual provider Emergency Medicine Physician · NPI 1689055154

Jacob Johnson, DO is an Emergency Medicine in Hudson, Wisconsin. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2015, 11 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
11
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
MI, WI
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

405 Stageline Rd
Hudson, WI 54016-7848
Phone: (715) 531-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1234 Napier Avenue, Saint Joseph, MI 49085 — (269) 982-4941
  • 640 Jackson St, Saint Paul, MN 55101-2502 — (651) 254-3456
  • 265 Griffin St E, Amery, WI 54001-1439 — (715) 268-8000
  • 1705 16th Ave, Cumberland, WI 54829-8601 — (715) 822-7500
  • 535 Hospital Rd, New Richmond, WI 54017-1449 — (715) 243-2600

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 71536-21 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5101022137 (MI)

Record details

NPI number1689055154
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 10, 2015
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing address7090 Stevensville Baroda Rd, Stevensville, MI 49127-9782

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2015 (11 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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