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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GABRIELLE JOHNSON PA-C, ATC
NPI 1689211740
Physician Assistant in Portland, OR

Active since December 06, 2019PECOS EnrolledAccepts Medicare Assignment
9155 SW BARNES RD, PORTLAND, OR 97225(503) 216-1234 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Apr 26, 2022, Dec 6, 2019 (3 updates tracked since 2019).

About Gabrielle Johnson Pa-c, Atc NPPES

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

GABRIELLE JOHNSON PA-C, ATC (NPI 1689211740) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA223248) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1689211740
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGABRIELLE JOHNSONCredential: PA-C, ATC
Location Address9155 SW BARNES RDPortland, OR 97225-6625
Mailing Address9155 Sw Barnes Rd Ste 440Portland, OR 97225-6631
Phone(503) 216-1234
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 6, 2019
Last NPPES UpdateOctober 14, 20263 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1689211740 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 OR · PA223248
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 ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AT-10165263 (OR)
9155 SW BARNES RD, Portland, OR 97225
Open in Google Maps ↗

Secondary Practice Location 1

Location 1501 N Graham St Ste 445Portland, OR 97227-2002 · Phone (503) 944-6300

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

Gabrielle Johnson Pa-c, Atc 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 ID6608396239
PECOS Enrollment IDI20250225003789
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.

Hospital Affiliations CMS Care Compare 4

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Seaside Hospital

Critical Access Hospitals · Seaside, OR
OwnershipVoluntary non-profit - Church
CMS Certification Number381303
Location725 S Wahanna RoadSeaside, OR 97138 · Clatsop County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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.

DR. SARAH R ZWEBER M.D.
Internal Medicine
9155 SW BARNES RD, STE 205
PORTLAND, OR 97225
Washington County (503) 297-5581
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 333
PORTLAND, OR 97225
Washington County (503) 216-5102
DR. DALE MICHAEL WILLIS M.D.
Pediatrics (Pediatric Endocrinology)
9155 SW BARNES RD, SUITE 931
PORTLAND, OR 97225
Washington County (503) 216-6050
THOMAS LORISH MD
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Washington County (503) 216-7145
HEARING HEALTHCARE PROFESSIONALS OF OREGON, LLC
Audiologist-Hearing Aid Fitter
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Washington County (503) 297-1600
FARZAD KAHNAMELLI PHARM.D.
Pharmacist
9155 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-6043
DR. CINDY M. REUTER ND, LAC, RD
Naturopath
9155 SW BARNES RD, SUITE 331
PORTLAND, OR 97225
Washington County (503) 216-0246
ASHLEIGH B CONNELL MA, CCC-SLP
Speech-Language Pathologist
9155 SW BARNES RD, CHILDREN'S DEVELOPMENT INSTITUTE, EAST PAVILION
PORTLAND, OR 97225
Washington County (503) 216-8272

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 Gabrielle Johnson's NPI number?

The NPI number for Gabrielle Johnson is 1689211740. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Where is Gabrielle Johnson located?

Gabrielle Johnson practices at 9155 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 216-1234.

What is Gabrielle Johnson's specialty?

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

Is Gabrielle Johnson enrolled in Medicare?

Yes. Gabrielle 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.

Is Gabrielle Johnson affiliated with any hospitals?

According to CMS data, Gabrielle Johnson is affiliated with Providence St Vincent Medical Center, Providence Newberg Medical Center, Providence Portland Medical Center and Providence Seaside Hospital.

When was this NPI record last updated?

The NPPES record for Gabrielle Johnson was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.