ELYSE JOHNSON (SLP) – Speech-Language Pathologist, NPI 1790848802

ELYSE JOHNSON (SLP) is a healthcare provider. based in La crosse, Wisconsin. specializing in Speech-Language Pathologist. They hold the professional credentials SLP. They hold a License No. 2853 (WI). The NPI Number for ELYSE JOHNSON (SLP) is 1790848802

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
ELYSE JOHNSON (SLP)
NPI
1790848802
Phone
(608) 782-7300
Address
1836 South Ave
Enumeration Date
19 December 2006
Last Update Date
29 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073332873
Graduation Year
1997 (29 years ago)
PAC ID
1759434517
Group Practice PAC ID
4880905694
Professional Enrollment ID
I20180807003009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for ELYSE JOHNSON (SLP)

  • 1836 South Ave

    LA Crosse, WI 546015429

    Phone: (608) 782-7300

    Type: Location

  • 4120, South Poplar Street, Casper, Natrona County, Wyoming, 82601, United States

    CASPER, WY 826016104

    Phone: (307) 333-2873

    Fax: (307) 333-4034

    Type: Mailing

  • 455, Thelma Drive, Casper, Natrona County, Wyoming, 82609, United States

    CASPER, WY 826092324

    Phone: (307) 472-3327

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180807003009IQualified Speech Language PathologistWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97130Therapy procedure for a range of mental processes, each additional 15 minutes61920$0
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder42925$0
97129Therapy procedure for a range of mental processes, initial 15 minutes29620$0
96125Test to assess the ability to complete specific functional tasks applicable to environment2613$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880905694View full group profile
NameSpecialtyState
-WY
Physical Therapist In Private PracticeWY
Occupational Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

Does ELYSE JOHNSON (SLP) have a public NPI I can cite?
Public records show ELYSE JOHNSON (SLP) under NPI 1790848802.
Does the public listing show ELYSE JOHNSON (SLP) as active?
ELYSE JOHNSON (SLP)'s NPI record reflects an active status in NPPES.
What does the directory say ELYSE JOHNSON (SLP) does?
Insurance directories may phrase it differently, but here ELYSE JOHNSON (SLP) maps to Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELYSE JOHNSON (SLP)?
ELYSE JOHNSON (SLP) is associated with La Crosse, Wisconsin in the same public data insurers reference.
Who maintains ELYSE JOHNSON (SLP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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