SANDRA LOUISE JOHNSON
NPI 1710473590
Family Medicine in Kingston, WA

Q: What is Sandra Johnson's NPI number?

The NPI number for Sandra Johnson is 1710473590. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Q: What is Sandra Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Johnson was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 05, 2018PECOS Enrolled

32020 LITTLE BOSTON RD NE, KINGSTON, WA 98346(360) 297-2840(360) 925-3897 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2025, Sep 12, 2024, Jul 5, 2018 (3 updates tracked since 2018).

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About Sandra Louise Johnson NPPES

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

SANDRA LOUISE JOHNSON (NPI 1710473590) is an individual family medicine provider in Kingston, Washington, licensed in Washington (AP60866033) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710473590

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSANDRA LOUISE JOHNSON

Location Address32020 LITTLE BOSTON RD NEKingston, WA 98346-9734

Mailing Address32020 Little Boston Rd NeKingston, WA 98346-9734 · (360) 297-2840 · Fax (360) 925-3897

Phone(360) 297-2840

Fax(360) 925-3897

Sole ProprietorNo

Enumeration DateJuly 5, 2018

Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration

NPPES CertifiedMarch 12, 2025

✔ NPI 1710473590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · AP60866033

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP60866033 (WA)

32020 LITTLE BOSTON RD NE, Kingston, WA 98346

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Sandra Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Port Gamble S'klallam Tribe

1.8 mi

Federally Qualified Health Center (FQHC)

32014 LITTLE BOSTON RD NE
Kingston, WA 98346

Reassigned Medicare billing, Washington enrollment
24 clinicians in this Medicare group

NPI 1760428650 (360) 297-9601

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 98346 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.

RACHEL SMART LMH

Counselor (Mental Health)