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RANDELLE JOHNSON ARNP
NPI 1053264804
Nurse Practitioner - Family in Olympia, WA

Active since February 19, 2026PECOS Enrolled
3425 ENSIGN RD NE STE 220, OLYMPIA, WA 98506(360) 493-4019(360) 493-7479 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Randelle Johnson Arnp NPPES

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

RANDELLE JOHNSON ARNP (NPI 1053264804) is an individual family provider in Olympia, Washington, licensed in Washington (ARNP.AP.70137230-NP) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053264804
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRANDELLE JOHNSONCredential: ARNP
Location Address3425 ENSIGN RD NE STE 220Olympia, WA 98506-5063
Mailing Address3425 Ensign Rd Ne Ste 220Olympia, WA 98506-5063 · (360) 493-4019 · Fax (360) 493-7479
Phone(360) 493-4019
Fax(360) 493-7479
Sole ProprietorNo
Enumeration DateFebruary 19, 2026
Last NPPES UpdateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
✔ NPI 1053264804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · ARNP.AP.70137230-NP
3425 ENSIGN RD NE STE 220, Olympia, WA 98506
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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)

Randelle Johnson Arnp 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 98506 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 4

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

ELIZABETH PIPER DPT
Physical Therapist
3425 ENSIGN RD NE STE 220
OLYMPIA, WA 98506
Thurston County (360) 493-4015
MS. KATHLEEN CHIN M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
3425 ENSIGN RD NE STE 220
OLYMPIA, WA 98506
Thurston County (360) 493-4015
MS. REBECCA M BODLE-SHINGU ARNP
Nurse Practitioner (Family)
3425 ENSIGN RD NE STE 220
OLYMPIA, WA 98506
Thurston County (360) 493-4019
SARAH A LUX MD
Internal Medicine
3425 ENSIGN RD NE STE 220
OLYMPIA, WA 98506
Thurston County (360) 493-5255

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 Randelle Johnson's NPI number?

The NPI number for Randelle Johnson is 1053264804. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Randelle Johnson located?

Randelle Johnson practices at 3425 Ensign Rd NE Ste 220, Olympia, WA 98506. The listed phone number is (360) 493-4019.

What is Randelle Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Randelle Johnson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Randelle Johnson was last updated on August 6, 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.