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BRYAN WAYNE JOHNSON PA-C
NPI 1508872763
Physician Assistant in Nampa, ID

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
9850 W ST LUKES DR STE 260, NAMPA, ID 83687(208) 381-6930(208) 381-6931 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 3, 2024, Apr 9, 2024, Mar 8, 2023 (3 updates tracked since 2023).

About Bryan Wayne Johnson Pa-c NPPES

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

BRYAN WAYNE JOHNSON PA-C (NPI 1508872763) is an individual physician assistant in Nampa, Idaho, licensed in Idaho (PA-2055) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1508872763
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRYAN WAYNE JOHNSONCredential: PA-C
Location Address9850 W ST LUKES DR STE 260Nampa, ID 83687-7912
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-6930
Fax(208) 381-6931
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2006
Enumeration DateJuly 31, 2006
Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration
NPPES CertifiedDecember 3, 2024
✔ NPI 1508872763 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 ID · PA-2055✔ Licensed in GA · 1071708
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.
9850 W ST LUKES DR STE 260, Nampa, ID 83687
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Secondary Practice Locations 2

Location 1697 Louisiana Drive, Dyess AFBAbilene, TX 79607-4765 · Phone (325) 696-4754
Location 21072 N Liberty St Ste 300Boise, ID 83704-8708 · Phone (208) 302-2300 · Fax (208) 302-2355

Accepted Insurance

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

Bryan Wayne Johnson Pa-c 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 ID7214163245
PECOS Enrollment IDI20210715001702
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

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.
21 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83687 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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 Bryan Johnson's NPI number?

The NPI number for Bryan Johnson is 1508872763. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Bryan Johnson located?

Bryan Johnson practices at 9850 W St Lukes Dr Ste 260, Nampa, ID 83687. The listed phone number is (208) 381-6930.

What is Bryan Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bryan Johnson enrolled in Medicare?

Yes. Bryan Johnson 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 Bryan Johnson accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Bryan 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.

Is Bryan Johnson affiliated with any hospitals?

According to CMS data, Bryan Johnson is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Bryan Johnson was last updated on December 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.