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

Q: 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.

Q: What is Amy Johnson's specialty?

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

Q: 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.

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: August 02, 2026.

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

On this page

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

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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 Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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