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SALLY S JOHNSON ARNP
NPI 1174338669
Nurse Practitioner - Family in Spokane, WA

Active since February 11, 2025PECOS Enrolled
9106 W RUTTER PKWY, SPOKANE, WA 99208(276) 730-5919 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sally S Johnson Arnp NPPES

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

SALLY S JOHNSON ARNP (NPI 1174338669) is an individual family provider in Spokane, Washington, licensed in Washington (AP61638533) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2024).

NPPES Registry Identity

NPI1174338669
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSALLY S JOHNSONCredential: ARNP
Location Address9106 W RUTTER PKWYSpokane, WA 99208-9210
Mailing Address5261 Carrollton Pike Ste AWoodlawn, VA 24381-3034 · (276) 730-5919
Phone(276) 730-5919
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2024
Enumeration DateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
✔ NPI 1174338669 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 · AP61638533
9106 W RUTTER PKWY, Spokane, WA 99208
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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)

Sally S Johnson Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012435092
PECOS Enrollment IDI20250513003587
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 99208 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 2

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

PACWEST HEALTHCARE, PLLC
Family Medicine
9106 W RUTTER PKWY
SPOKANE, WA 99208
Spokane County (509) 385-4339
KRISTIN NICOLE PREY ARNP
Nurse Practitioner (Family)
9106 W RUTTER PKWY
SPOKANE, WA 99208
Spokane County (509) 418-4248

Frequently Asked Questions

What is Sally Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1174338669, enumerated as an "individual" on February 11, 2025.

Where is the provider located?

The provider is located at 9106 W RUTTER PKWY SPOKANE, WA 99208 and the phone number is (276) 730-5919.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.