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DR. AMY WANG JOHNSON M.D.
NPI 1053639070
Pediatrics in Everett, WA

Active since May 14, 2010PECOS Enrolled
1424 BROADWAY, EVERETT, WA 98201(425) 789-2000(425) 789-2096 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 6, 2019, Feb 2, 2017 (2 updates tracked since 2017).

About Dr. Amy Wang Johnson M.d. NPPES

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

DR. AMY WANG JOHNSON M.D. (NPI 1053639070) is an individual pediatrics provider in Everett, Washington, licensed in Washington (60891239) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Fernando.

NPPES Registry Identity

NPI1053639070
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AMY WANG JOHNSONCredential: M.D.
Location Address1424 BROADWAYEverett, WA 98201-1720
Mailing Address1424 BroadwayEverett, WA 98201-1720 · (425) 789-2000 · Fax (425) 789-2096
Phone(425) 789-2000
Fax(425) 789-2096
Sole ProprietorNo
Enumeration DateMay 14, 2010
Last NPPES UpdateDecember 6, 20192 updates tracked since enumeration
✔ NPI 1053639070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WA · 60891239✔ Licensed in CA · A121626
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1424 BROADWAY, Everett, WA 98201
Open in Google Maps ↗

Secondary Practice Location 1

Location 11172 N Maclay Ave, Northeast Valley Health Corporation Att: Medical AdminSan Fernando, CA 91340-1328 · Phone (516) 902-8625

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amy Wang Johnson M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Center Of Snohomish County
5.6 mi
Federally Qualified Health Center (FQHC)
8609 EVERGREEN WAY
Everett, WA 98208
  • Reassigned Medicare billing, Washington enrollment
  • 182 clinicians in this Medicare group
NPI 1730136367 (425) 789-1000
Northeast Valley Health Corporation
956 mi
Community Health
23763 VALENCIA BLVD
Valencia, CA 91355
  • Reassigned Medicare billing, California enrollment
  • 218 clinicians in this Medicare group
NPI 1730180118 (661) 287-1551

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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 20

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

GIA L FRANK NP
Nurse Practitioner
1424 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 789-2000
MISS MERIEL GERETTE MUFFLY CDP
Counselor (Addiction (Substance Use Disorder))
1424 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 789-2000
ERIN BISHOP PA-C
Physician Assistant
1424 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 789-3789
COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY
Pharmacy (Clinic Pharmacy)
1424 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 789-2050
DR. RUTH ANN PARISH M.D.
Pediatrics
1424 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 789-2000
TANYA BHATIA
Internal Medicine
1424 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 789-2000
JONATHAN KENNETH DEARBORN HISER MD
Internal Medicine
1424 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 789-3789
JUNE S LONGWAY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1424 BROADWAY
EVERETT, WA 98201
Snohomish County (425) 789-2000

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 Amy Johnson's NPI number?

The NPI number for Amy Johnson is 1053639070. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Where is Amy Johnson located?

Amy Johnson practices at 1424 Broadway, Everett, WA 98201. The listed phone number is (425) 789-2000.

What is Amy Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amy Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Amy Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Johnson reassigns Medicare benefits to 2 organizations: Community Health Center Of Snohomish County (Everett, WA) and Northeast Valley Health Corporation (Valencia, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Johnson accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Amy Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Johnson was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.