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DESTINY JADE JOHNSON
NPI 1467088617
Nurse Practitioner - Psychiatric/Mental Health in Spokane, WA

Active since March 19, 2020PECOS Enrolled
4005 N COOK ST, SPOKANE, WA 99207(509) 530-4230 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2026, Mar 19, 2020 (2 updates tracked since 2020).

About Destiny Jade Johnson NPPES

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

DESTINY JADE JOHNSON (NPI 1467088617) is an individual psychiatric/mental health provider in Spokane, Washington, licensed in Washington (70153342) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1467088617
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDESTINY JADE JOHNSON
Location Address4005 N COOK STSpokane, WA 99207-5879
Mailing Address4005 N Cook StSpokane, WA 99207-5879 · (509) 530-4230
Phone(509) 530-4230
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 19, 2020
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1467088617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · 70153342
4005 N COOK ST, Spokane, WA 99207
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Destiny Jade Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729547781
PECOS Enrollment IDI20260828004737
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.

Medicare Billing Reassignment

Medicare enrollment records show Destiny Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System
3.4 mi
Internal Medicine
400 E 5TH AVE
Spokane, WA 99202
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1730687161 (509) 838-2531

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99207 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 10

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

AMIDY MARIE GALLAGHER
Counselor (Mental Health)
4005 N COOK ST
SPOKANE, WA 99207
Spokane County (509) 398-0447
CHARLES HENKE LICSW
Social Worker (Clinical)
4005 N COOK ST
SPOKANE, WA 99207
Spokane County (509) 868-1242
MADELINE COOK
Counselor (Mental Health)
4005 N COOK ST
SPOKANE, WA 99207
Spokane County (509) 530-4222
STEPHANIE N HOWARD
Counselor (Mental Health)
4005 N COOK ST
SPOKANE, WA 99207
Spokane County (509) 530-4230
SARAH CRAIN AAC
Counselor (Mental Health)
4005 N COOK ST
SPOKANE, WA 99207
Spokane County (509) 530-4230
MELODY IRENE NOSTER MSW,LICSWA
Counselor (Mental Health)
4005 N COOK ST
SPOKANE, WA 99207
Spokane County (509) 530-4230
SANJIVANI MARIE CROSS LMHC
Counselor (Professional)
4005 N COOK ST
SPOKANE, WA 99207
Spokane County (509) 530-4230
KASSIDEE GROGAN
Case Manager/Care Coordinator
4005 N COOK ST
SPOKANE, WA 99207
Spokane County (509) 530-4230

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 Destiny Johnson's NPI number?

The NPI number for Destiny Johnson is 1467088617. It was assigned to this individual provider in the NPPES registry on March 19, 2020.

Where is Destiny Johnson located?

Destiny Johnson practices at 4005 N Cook St, Spokane, WA 99207. The listed phone number is (509) 530-4230.

What is Destiny Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Destiny Johnson enrolled in Medicare?

Yes. Destiny Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Destiny Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Johnson reassigns Medicare benefits to Multicare Health System (Spokane, WA). The 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 Destiny Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Destiny Johnson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Destiny Johnson 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.

When was this NPI record last updated?

The NPPES record for Destiny Johnson was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.