COURTNEY LOIS JOHNSON PA-C
NPI 1114412459
Physician Assistant in Renton, WA

Active since June 28, 2018PECOS EnrolledAccepts Medicare Assignment
4011 TALBOT RD S STE 500, RENTON, WA 98055(425) 690-3482(425) 690-9082 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2023, Jun 28, 2018 (2 updates tracked since 2018).

About Courtney Lois Johnson Pa-c NPPES

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

COURTNEY LOIS JOHNSON PA-C (NPI 1114412459) is an individual physician assistant in Renton, Washington, licensed in Washington (PA60879450) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2018).

NPPES Registry Identity

NPI1114412459
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY LOIS JOHNSONCredential: PA-C
Location Address4011 TALBOT RD S STE 500Renton, WA 98055-5782
Mailing Address3600 Lind Ave Sw Ste 100Renton, WA 98057-4970 · (425) 690-2715
Fax(425) 690-9082
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2018
Enumeration DateJune 28, 2018
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
NPI 1114412459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA60879450
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4011 TALBOT RD S STE 500, Renton, WA 98055

Other Names 1

Former Name (1)Courtney Lois Simcoe Pa-c

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Courtney Lois Johnson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789933086
PECOS Enrollment IDI20180820003461
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
208 services192 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
81 services79 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services41 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98055 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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 16

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

Internal Medicine (Cardiovascular Disease)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Nurse Practitioner (Family)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Internal Medicine (Cardiovascular Disease)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Internal Medicine (Gastroenterology)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Internal Medicine (Gastroenterology)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Nurse Practitioner (Adult Health)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Internal Medicine (Gastroenterology)
4011 TALBOT RD S STE 500
RENTON, WA 98055
Internal Medicine (Clinical Cardiac Electrophysiology)
4011 TALBOT RD S STE 500
RENTON, WA 98055

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 Courtney Johnson's NPI number?

The NPI number for Courtney Johnson is 1114412459. It was assigned to this individual provider in the NPPES registry on June 28, 2018. The provider is also known as Courtney Lois Simcoe Pa-C.

Where is Courtney Johnson located?

Courtney Johnson practices at 4011 Talbot Rd S Ste 500, Renton, WA 98055. The listed phone number is (425) 690-3482.

What is Courtney Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Johnson enrolled in Medicare?

Yes. Courtney Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Courtney Johnson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Courtney 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.

Is Courtney Johnson affiliated with any hospitals?

According to CMS data, Courtney Johnson is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Courtney Johnson was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.