KRISTOFER K JOHNSON PA
NPI 1548411770
Physician Assistant - Medical in Spokane Valley, WA

Active since October 07, 2008PECOS EnrolledAccepts Medicare Assignment
12606 E MISSION AVE, SPOKANE VALLEY, WA 99216(509) 924-6650 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristofer K Johnson Pa NPPES

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

KRISTOFER K JOHNSON PA (NPI 1548411770) is an individual medical provider in Spokane Valley, Washington, licensed in Washington (PA60049525) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1548411770
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKRISTOFER K JOHNSONCredential: PA
Location Address12606 E MISSION AVESpokane Valley, WA 99216-3421
Mailing AddressPo Box 758701Baltimore, MD 21275-8701
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 7, 2008
Last NPPES UpdateMarch 10, 2023
NPPES CertifiedMarch 10, 2023
NPI 1548411770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA60049525
Also ListedPhysician AssistantTaxonomy 363A00000X
12606 E MISSION AVE, Spokane Valley, WA 99216

Secondary Practice Location 1

Location 11001 W 2nd AveSpokane, WA 99201-4503 · Phone (509) 444-8200

Other Identifiers 1

OtherPA60049525WA · License

Accepted 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

Kristofer K Johnson Pa 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 ID4385702869
PECOS Enrollment IDI20081028000399
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.

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.

Nurse Anesthetist, Certified Registered
12606 E MISSION AVE
SPOKANE VALLEY, WA 99216
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12606 E MISSION AVE
SPOKANE VALLEY, WA 99216
Nurse Practitioner (Family)
12606 E MISSION AVE
SPOKANE VALLEY, WA 99216
Registered Nurse
12606 E MISSION AVE
SPOKANE VALLEY, WA 99216
Registered Nurse
12606 E MISSION AVE
SPOKANE VALLEY, WA 99216
Pharmacist
12606 E MISSION AVE
SPOKANE VALLEY, WA 99216
Registered Nurse
12606 E MISSION AVE
SPOKANE VALLEY, WA 99216
Registered Nurse (Emergency)
12606 E MISSION AVE
SPOKANE VALLEY, WA 99216

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 Kristofer Johnson's NPI number?

The NPI number for Kristofer Johnson is 1548411770. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Kristofer Johnson located?

Kristofer Johnson practices at 12606 E Mission Ave, Spokane Valley, WA 99216. The listed phone number is (509) 924-6650.

What is Kristofer Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kristofer Johnson enrolled in Medicare?

Yes. Kristofer 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 Kristofer Johnson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kristofer 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 Kristofer Johnson was last updated on March 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.