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MR. ROBERT JOHANSEN PA-C
NPI 1639452618
Physician Assistant in Omak, WA

Active since September 26, 2011PECOS EnrolledAccepts Medicare Assignment
529 JASMINE ST, OMAK, WA 98841(509) 826-1600 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Robert Johansen Pa-c NPPES

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

MR. ROBERT JOHANSEN PA-C (NPI 1639452618) is an individual physician assistant in Omak, Washington, licensed in Washington (PA60248541) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Yakima Valley Memorial, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1639452618
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ROBERT JOHANSENCredential: PA-C
Location Address529 JASMINE STOmak, WA 98841-9589
Mailing Address529 Jasmine StOmak, WA 98841-9589 · (509) 826-1600
Phone(509) 826-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 26, 2011
Last NPPES UpdateSeptember 10, 2015
✔ NPI 1639452618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA60248541
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA60248541 (WA)
529 JASMINE ST, Omak, WA 98841
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Other Identifiers 3

Medicare PING8919954WA
Medicare PING8903727WA
Medicaid1639452618WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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

Mr. Robert Johansen 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 ID3274705561
PECOS Enrollment IDI20111010000467
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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
221 services195 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Summit Pacific Medical Center

Critical Access Hospitals · Elma, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501304
Location600 East Main StreetElma, WA 98541 · Grays Harbor County
Emergency services

North Valley Hospital

Critical Access Hospitals · Tonasket, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501321
Location203 South WesternTonasket, WA 98855 · Okanogan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98841 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
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers14 claims14 services$46.26 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers12 claims12 services$119.78 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims29 services$44.71 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers19 claims114 services$23.88 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers13 claims65 services$17.25 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers31 claims31 services$69.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

MR. GREGORY D FISK PAC
Physician Assistant
529 JASMINE ST
OMAK, WA 98841
Okanogan County (509) 826-1600
DR. DEAN R QUIGLEY MD
Surgery
529 JASMINE ST
OMAK, WA 98841
Okanogan County (509) 826-1600
MR. ANDREW C SWARTSEL PA-C
Physician Assistant
529 JASMINE ST
OMAK, WA 98841
Okanogan County (509) 826-1600
MRS. STELLA DELORES DOLGNER A.R.N.P.
Nurse Practitioner (Primary Care)
529 JASMINE ST
OMAK, WA 98841
Okanogan County (509) 826-1600
DR. MIRANDA MCINTYRE RAICHE M.D.
Family Medicine
529 JASMINE ST
OMAK, WA 98841
Okanogan County (509) 826-1600
MRS. GAYLE MARIE GRUBICH ARNP
Nurse Practitioner (Primary Care)
529 JASMINE ST
OMAK, WA 98841
Okanogan County (509) 826-1600
JULES SLEIMAN MD
Family Medicine
529 JASMINE ST
OMAK, WA 98841
Okanogan County (509) 826-1600
JOSHUA G SCHKROHOWSKY MD
Orthopaedic Surgery
529 JASMINE ST
OMAK, WA 98841
Okanogan County (509) 826-1600

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 Robert Johansen's NPI number?

The NPI number for Robert Johansen is 1639452618. It was assigned to this individual provider in the NPPES registry on September 26, 2011.

Where is Robert Johansen located?

Robert Johansen practices at 529 Jasmine St, Omak, WA 98841. The listed phone number is (509) 826-1600.

What is Robert Johansen's specialty?

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

Is Robert Johansen enrolled in Medicare?

Yes. Robert Johansen 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 Robert Johansen accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Robert Johansen 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 Robert Johansen affiliated with any hospitals?

According to CMS data, Robert Johansen is affiliated with Yakima Valley Memorial, Summit Pacific Medical Center and North Valley Hospital.

When was this NPI record last updated?

The NPPES record for Robert Johansen was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.