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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: October 18, 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.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally S Johnson Arnp 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 Reassignment

Medicare enrollment records show Sally Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacwest Healthcare, PLLC
Same address
Family Medicine
9106 W RUTTER PKWY
Spokane, WA 99208
  • Reassigned Medicare billing, Washington enrollment
  • 20 clinicians in this Medicare group
NPI 1952093742 (509) 385-4339

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 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 5

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

PACWEST PODIATRY, PLLC
Family Medicine
9106 W RUTTER PKWY
SPOKANE, WA 99208
Spokane County (276) 730-5919
JESSE MATHWIG FNP-BC
Nurse Practitioner (Family)
9106 W RUTTER PKWY
SPOKANE, WA 99208
Spokane County (360) 880-8193
PACWEST PALLIATIVE CARE, 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
PACWEST HEALTHCARE, PLLC
Family Medicine
9106 W RUTTER PKWY
SPOKANE, WA 99208
Spokane County (509) 385-4339

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 Sally Johnson's NPI number?

The NPI number for Sally Johnson is 1174338669. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Sally Johnson located?

Sally Johnson practices at 9106 W Rutter Pkwy, Spokane, WA 99208. The listed phone number is (276) 730-5919.

What is Sally Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sally Johnson enrolled in Medicare?

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

Which organization bills Medicare for Sally Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Johnson reassigns Medicare benefits to Pacwest Healthcare, PLLC (Spokane, WA). The 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 Sally Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sally Johnson was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.