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NICOLE KATRINA JOHNSEN ARNP
NPI 1295130979
Nurse Practitioner - Primary Care in Bellevue, WA

Active since October 24, 2014PECOS EnrolledAccepts Medicare Assignment
400 108TH AVE NE, OVERLAKE MEDICAL CLINIC, DOWNTOWN BELLEVUE, BELLEVUE, WA 98004(425) 635-6350 Get Directions Write a Review

NPPES record last updated: October 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Katrina Johnsen Arnp NPPES

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

NICOLE KATRINA JOHNSEN ARNP (NPI 1295130979) is an individual primary care provider in Bellevue, Washington, licensed in Washington (AP60508856) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1295130979
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNICOLE KATRINA JOHNSENCredential: ARNP
Location Address400 108TH AVE NE, OVERLAKE MEDICAL CLINIC, DOWNTOWN BELLEVUEBellevue, WA 98004
Mailing Address400 108th Ave Ne, Overlake Medical Clinic, Downtown BellevueBellevue, WA 98004 · (425) 635-6350
Phone(425) 635-6350
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 24, 2014
✔ NPI 1295130979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in WA · AP60508856
400 108TH AVE NE, Bellevue, WA 98004
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Nicole Katrina Johnsen Arnp 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 ID1456669845
PECOS Enrollment IDI20180605001282
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 5

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.
217 services179 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
184 services167 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
44 services35 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.
19 services19 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Mccall

Critical Access Hospitals · Mccall, ID
OwnershipProprietary
CMS Certification Number131312
Location1000 State StreetMccall, ID 83638 · Valley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 7

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

DR. SAI PRASANNA MANNEM MD
Internal Medicine
400 108TH AVE NE
BELLEVUE, WA 98004
King County (425) 653-6350
VINCENT B SIY MD
Family Medicine
400 108TH AVE NE
BELLEVUE, WA 98004
King County (425) 635-6350
ELISABETH ANN REHN LICSW
Social Worker (Clinical)
400 108TH AVE NE, #402
BELLEVUE, WA 98004
King County (425) 454-1199
MS. AMANDA MARINA MEYER MSW, LICSW
Social Worker (Clinical)
400 108TH AVE NE, SUITE 402
BELLEVUE, WA 98004
King County (425) 454-1199
SEAN ANDREW DE LEON ORLINO M.D.
Family Medicine
400 108TH AVE NE
BELLEVUE, WA 98004
King County (425) 635-6350
AQSSA CHAUDHRY
Counselor (Mental Health)
400 108TH AVE NE
BELLEVUE, WA 98004
King County (425) 454-1199
MEREDITH H LEPORE ARNP
Nurse Practitioner (Family)
400 108TH AVE NE, SUITE 100
BELLEVUE, WA 98004
King County (425) 635-6350

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 Nicole Johnsen's NPI number?

The NPI number for Nicole Johnsen is 1295130979. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Nicole Johnsen located?

Nicole Johnsen practices at 400 108th Ave NE Overlake Medical Clinic, Downtown Bellevue, Bellevue, WA 98004. The listed phone number is (425) 635-6350.

What is Nicole Johnsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nicole Johnsen enrolled in Medicare?

Yes. Nicole Johnsen 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 Nicole Johnsen accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Nicole Johnsen 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 Nicole Johnsen affiliated with any hospitals?

According to CMS data, Nicole Johnsen is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center and St Luke's Mccall.

When was this NPI record last updated?

The NPPES record for Nicole Johnsen was last updated on October 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.