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MRS. ANNIE JOHNSON PA-C
NPI 1003067984
Physician Assistant - Medical in Kuna, ID

Active since October 09, 2008PECOS Enrolled
708 E WYTHE CREEK CT STE 103, KUNA, ID 83634(208) 922-5130(208) 922-5132 Get Directions Write a Review

NPPES record last updated: December 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Annie Johnson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANNIE JOHNSON PA-C (NPI 1003067984) is an individual medical provider in Kuna, Idaho, licensed in Idaho (PA-777) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003067984
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ANNIE JOHNSONCredential: PA-C
Location Address708 E WYTHE CREEK CT STE 103Kuna, ID 83634-5005
Mailing AddressPo Box 68Kuna, ID 83634-0068 · (208) 922-5130 · Fax (208) 922-5132
Phone(208) 922-5130
Fax(208) 922-5132
Sole ProprietorNo
Enumeration DateOctober 9, 2008
Last NPPES UpdateDecember 1, 2010
✔ NPI 1003067984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-777
708 E WYTHE CREEK CT STE 103, Kuna, ID 83634
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Annie Johnson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLY M MCCORMICK DO
Family Medicine
708 E WYTHE CREEK CT STE 103
KUNA, ID 83634
Ada County (208) 922-5130
AMANDA BERBERT MD
Family Medicine
708 E WYTHE CREEK CT STE 103
KUNA, ID 83634
Ada County (208) 922-5130
DARREL ROBERT PORR MD
Family Medicine
708 E WYTHE CREEK CT STE 103
KUNA, ID 83634
Ada County (208) 922-5130
FULL CIRCLE HEALTH, INC.
Pharmacy (Community/Retail Pharmacy)
708 E WYTHE CREEK CT STE 103
KUNA, ID 83634
Ada County (208) 954-8705
ALEXANDRA E BEATTIE MD
Family Medicine
708 E WYTHE CREEK CT STE 103
KUNA, ID 83634
Ada County (208) 922-5130
MEGAN AUMEIER PA-C
Physician Assistant
708 E WYTHE CREEK CT STE 103
KUNA, ID 83634
Ada County (208) 922-5130
KUNA FAMILY MEDICAL CLINIC, P. A.
Nurse Practitioner (Family)
708 E WYTHE CREEK CT STE 103
KUNA, ID 83634
Ada County (208) 922-5130
MR. DOUGLAS KENT MCVEY PA-C
Physician Assistant (Medical)
708 E WYTHE CREEK CT STE 103
KUNA, ID 83634
Ada County (208) 922-5338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annie Johnson's NPI number?

The NPI number for Annie Johnson is 1003067984. It was assigned to this individual provider in the NPPES registry on October 9, 2008.

Where is Annie Johnson located?

Annie Johnson practices at 708 E Wythe Creek Ct Ste 103, Kuna, ID 83634. The listed phone number is (208) 922-5130.

What is Annie Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Annie Johnson enrolled in Medicare?

Yes. Annie Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annie Johnson was last updated on December 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.