KATHERINE ROSE JOHANSEN PA-C
NPI 1457895823
Physician Assistant in Mc Lean, VA

Active since December 05, 2016PECOS Enrolled
62.13/100
CMS Quality Rating
1775 TYSONS BLVD STE 300, MC LEAN, VA 22102(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 20, 2022, Sep 10, 2019 (2 updates tracked since 2019).

About Katherine Rose Johansen Pa-c NPPES

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

KATHERINE ROSE JOHANSEN PA-C (NPI 1457895823) is an individual physician assistant in Mc Lean, Virginia, licensed in Virginia (0110005664) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457895823
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE ROSE JOHANSENCredential: PA-C
Location Address1775 TYSONS BLVD STE 300Mc Lean, VA 22102-4285
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Fax(415) 252-7176
Sole ProprietorNo
Enumeration DateDecember 5, 2016
Last NPPES UpdateSeptember 29, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1457895823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in VA · 0110005664 Licensed in DC · PA200002312
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1775 TYSONS BLVD STE 300, Mc Lean, VA 22102

Other Names 1

Former Name (1)Katherine R Mcsweeney

Secondary Practice Locations 2

Location 13370 Pump RdRichmond, VA 23233-1130 · Phone (804) 360-8061
Location 2100 Brewster BlvdCamp Lejeune, NC 28547-2575 · Phone (804) 501-8222

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katherine Rose Johansen Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22102 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

62.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability0
Improvement Activities40
Cost84.66

Other Providers at the Same Location NPPES 19

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

Internal Medicine
1775 TYSONS BLVD STE 300
TYSONS, VA 22102
Nurse Practitioner
1775 TYSONS BLVD STE 300
TYSONS, VA 22102
Physician Assistant
1775 TYSONS BLVD STE 300
TYSONS, VA 22102
Nurse Practitioner
1775 TYSONS BLVD STE 300
TYSONS, VA 22102
Nurse Practitioner (Family)
1775 TYSONS BLVD STE 300
TYSONS, VA 22102
Family Medicine
1775 TYSONS BLVD STE 300
TYSONS, VA 22102
Nurse Practitioner (Family)
1775 TYSONS BLVD STE 300
TYSONS, VA 22102
Internal Medicine
1775 TYSONS BLVD STE 300
TYSONS, VA 22102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457895823, enumerated as an "individual" on December 05, 2016.

The provider is located at 1775 TYSONS BLVD STE 300 MC LEAN, VA 22102 and the phone number is (888) 663-6331.

Physician Assistant with taxonomy code 363A00000X.