KATHERINE JOHNSON CPNP-PC
NPI 1033060462
Nurse Practitioner - Pediatrics in Sandpoint, ID

Active since February 03, 2026PECOS Enrolled
810 SIXTH AVE, SANDPOINT, ID 83864(208) 265-2242 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Aug 7, 2026, Jul 30, 2026, Feb 3, 2026 (3 updates tracked since 2026).

About Katherine Johnson Cpnp-pc NPPES

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

KATHERINE JOHNSON CPNP-PC (NPI 1033060462) is an individual pediatrics provider in Sandpoint, Idaho, licensed in Idaho (8771895) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Libby.

NPPES Registry Identity

NPI1033060462
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHERINE JOHNSONCredential: CPNP-PC
Location Address810 SIXTH AVESandpoint, ID 83864-5396
Mailing Address225 Commerce WayLibby, MT 59923-3002
Sole ProprietorNo
Enumeration DateFebruary 3, 2026
Last NPPES UpdateAugust 7, 20263 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1033060462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in ID · 8771895✔ Licensed in MT · NUR-APRN-LIC-2291900
Also ListedRegistered Nurse · Continuing Education/Staff DevelopmentTaxonomy 163WC1600X · License NUR-RN-LIC-174252 (MT)
810 SIXTH AVE, Sandpoint, ID 83864

Secondary Practice Location 1

Location 1225 Commerce WayLibby, MT 59923-3002 · Phone (406) 293-2721

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Johnson Cpnp-pc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83864 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner (Obstetrics & Gynecology)
810 SIXTH AVE
SANDPOINT, ID 83864
Physician Assistant
810 SIXTH AVE
SANDPOINT, ID 83864
Pediatrics
810 SIXTH AVE
SANDPOINT, ID 83864
Counselor (Addiction (Substance Use Disorder))
810 SIXTH AVE
SANDPOINT, ID 83864
Dentist
810 SIXTH AVE
SANDPOINT, ID 83864
Physician Assistant (Medical)
810 SIXTH AVE
SANDPOINT, ID 83864
Nurse Practitioner (Family)
810 SIXTH AVE
SANDPOINT, ID 83864
Pediatrics
810 SIXTH AVE
SANDPOINT, ID 83864

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 Katherine Johnson's NPI number?

The NPI number for Katherine Johnson is 1033060462. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Katherine Johnson located?

Katherine Johnson practices at 810 Sixth Ave, Sandpoint, ID 83864. The listed phone number is (208) 265-2242.

What is Katherine Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Katherine Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Katherine Johnson was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.