CHARMAINE R ALLEN-JOHNSON ARNP
NPI 1235259748
Nurse Practitioner - Family in Clarkston, WA

Active since March 29, 2007Opted out of Medicare · through Apr 1, 2027
619 DIAGONAL ST, CLARKSTON, WA 99403(509) 758-9003(509) 758-9001 Get Directions Write a Review

NPPES record last updated: October 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charmaine R Allen-johnson Arnp NPPES

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

CHARMAINE R ALLEN-JOHNSON ARNP (NPI 1235259748) is an individual family provider in Clarkston, Washington, licensed in Idaho (NP451A) and active in the NPI registry since March 2007. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235259748
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARMAINE R ALLEN-JOHNSONCredential: ARNP
Location Address619 DIAGONAL STClarkston, WA 99403-2041
Mailing Address165 Southport AveLewiston, ID 83501-4523 · (208) 743-3142 · Fax (208) 743-3142
Fax(509) 758-9001
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateOctober 26, 2010
NPI 1235259748 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
Licenses Licensed in ID · NP451A Licensed in WA · AP3005439
619 DIAGONAL ST, Clarkston, WA 99403

Other Identifiers 3

Medicare ID-Type UnspecifiedAB20210WA
Medicare UPINS98147WA
Medicaid1786607WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Charmaine R Allen-johnson Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99403 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 3

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

Social Worker
619 DIAGONAL ST
CLARKSTON, WA 99403
Social Worker
619 DIAGONAL ST
CLARKSTON, WA 99403
Clinic/Center (Primary Care)
619 DIAGONAL ST
CLARKSTON, WA 99403

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 Charmaine Allen-johnson's NPI number?

The NPI number for Charmaine Allen-johnson is 1235259748. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Charmaine Allen-johnson located?

Charmaine Allen-johnson practices at 619 Diagonal St, Clarkston, WA 99403. The listed phone number is (509) 758-9003.

What is Charmaine Allen-johnson's specialty?

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

Is Charmaine Allen-johnson enrolled in Medicare?

No. Charmaine Allen-johnson has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Charmaine Allen-johnson was last updated on October 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.