JESSICA JOHNSON
NPI 1417765934
Nurse Practitioner in Spokane, WA

Q: What is Jessica Johnson's NPI number?

The NPI number for Jessica Johnson is 1417765934. It was assigned to this individual provider in the NPPES registry on December 30, 2024.

Q: What is Jessica Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Johnson was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 30, 2024PECOS EnrolledAccepts Medicare Assignment

217 W CATALDO AVE FL 2, SPOKANE, WA 99201(509) 624-2326 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jessica Johnson NPPES

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

JESSICA JOHNSON (NPI 1417765934) is an individual nurse practitioner in Spokane, Washington, licensed in Washington (AP61643117) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Providence Mount Carmel Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417765934

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJESSICA JOHNSON

Location Address217 W CATALDO AVE FL 2Spokane, WA 99201-2217

Mailing AddressPo Box 421Liberty Lake, WA 99019-0421

Phone(509) 624-2326

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateDecember 30, 2024

NPPES CertifiedDecember 30, 2024

✔ NPI 1417765934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP61643117

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

217 W CATALDO AVE FL 2, Spokane, WA 99201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, 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

Jessica Johnson 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 ID6507395548

PECOS Enrollment IDI20250121002593

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.

Hospital Affiliations CMS Care Compare

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

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number501326

Location982 East ColumbiaColville, WA 99114 · Stevens County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99201 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 20

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

DR. SEAN PETER MCKEE MD

Otolaryngology (Otolaryngic Allergy)