PATHWAY GERIATRICS PLLC
NPI 1154924207
Clinic/Center - Primary Care in Redmond, WA

Active since November 20, 2020CLIA 50D2217958 · Waiver
8201 164TH AVE NE STE 325, REDMOND, WA 98052(425) 818-5311(425) 434-1755 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pathway Geriatrics Pllc NPPES

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

PATHWAY GERIATRICS PLLC (NPI 1154924207) is a healthcare organization registered as a primary care in Redmond, Washington and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Stephanie R Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1154924207
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePATHWAY GERIATRICS PLLC
Location Address8201 164TH AVE NE STE 325Redmond, WA 98052-7615
Mailing Address8201 164th Ave Ne Ste 325Redmond, WA 98052-7615 · (425) 818-5311 · Fax (425) 434-1755
Fax(425) 434-1755
Organization SubpartNo
Authorized OfficialStephanie R JohnsonOwner · (425) 818-5311
Enumeration DateNovember 20, 2020
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1154924207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
8201 164TH AVE NE STE 325, Redmond, WA 98052

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pathway Geriatrics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Pathway Geriatrics PLLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1811678626
8201 164TH AVE NE STE 325
Redmond, WA 98052
(425) 818-5311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1275199663
8201 164TH AVE NE STE 325
Redmond, WA 98052
(425) 818-5311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184942526
8201 164TH AVE NE STE 325
Redmond, WA 98052
(425) 818-5311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265880611
8201 164TH AVE NE STE 325
Redmond, WA 98052
(425) 818-5311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1740557289
8201 164TH AVE NE STE 325
Redmond, WA 98052
(425) 818-5311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780849935
8201 164TH AVE NE STE 325
Redmond, WA 98052
(425) 818-5311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1376207027
8201 164TH AVE NE STE 325
Redmond, WA 98052
(425) 818-5311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063159432
8201 164TH AVE NE STE 325
Redmond, WA 98052
(425) 818-5311
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184258014
6837 29TH AVE NE
Seattle, WA 98115
(206) 471-9666
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1629814413
1120 N PINES RD # A
Spokane Valley, WA 99206
(509) 713-1315
✔ PECOS✔ Accepts Medicare228 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2217958

Pathway Geriatrics PLLC · Redmond, WA
Active · expires Apr 4, 2028
CLIA Number50D2217958
Laboratory TypePhysician Office
Certificate Effective DateMarch 24, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStephanie Johnson
Laboratory Phone(425) 818-5311
Laboratory LocationPathway Geriatrics PLLC8201 164th Ave NE Ste 325, Redmond, WA 98052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pathway Geriatrics PLLC's NPI number?

The NPI number for Pathway Geriatrics PLLC is 1154924207. It was assigned to this organization in the NPPES registry on November 20, 2020.

Where is Pathway Geriatrics PLLC located?

Pathway Geriatrics PLLC is located at 8201 164th Ave NE Ste 325, Redmond, WA 98052. The listed phone number is (425) 818-5311.

What is Pathway Geriatrics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Pathway Geriatrics PLLC enrolled in Medicare?

Yes. Pathway Geriatrics PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pathway Geriatrics PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Pathway Geriatrics PLLC. A 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 the clinician's services. Of these, 8 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pathway Geriatrics PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2217958) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pathway Geriatrics PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pathway Geriatrics PLLC 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 Pathway Geriatrics PLLC was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.