PATHWAY GERIATRICS RESIDENTIAL PLLC
NPI 1326979659
Nurse Practitioner - Gerontology in Redmond, WA
About Pathway Geriatrics Residential Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATHWAY GERIATRICS RESIDENTIAL PLLC (NPI 1326979659) is a healthcare organization registered as a gerontology in Redmond, Washington and active in the NPI registry since May 2026. The organization lists Stephanie Rae Johnson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Residential Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pathway Geriatrics Residential PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Residential PLLC's NPI number?
The NPI number for Pathway Geriatrics Residential PLLC is 1326979659. It was assigned to this organization in the NPPES registry on May 26, 2026.
Where is Pathway Geriatrics Residential PLLC located?
Pathway Geriatrics Residential 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 Residential PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Pathway Geriatrics Residential PLLC enrolled in Medicare?
Yes. Pathway Geriatrics Residential PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pathway Geriatrics Residential PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Pathway Geriatrics Residential 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pathway Geriatrics Residential PLLC was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Pathway Geriatrics Residential Pllc · NPI 1326979659
Gerontology organization in Redmond, Washington. Organization record, active in the CMS NPPES registry since May 26, 2026.
## Identity
- **NPI:** 1326979659 (Entity type: Organization)
- **Enumerated:** May 26, 2026
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Organization subpart:** No
- **Authorized official:** Stephanie Johnson, OWNER
## Practice location
- **Address:** 8201 164TH AVE NE STE 325, Redmond, WA 98052-7615
- **Phone:** (425) 818-5311 · **Fax:** (425) 434-1755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1326979659) · Data from the CMS NPPES public registry.