ANDREA JOHANSEN
NPI 1720764731
Nurse Practitioner - Family in Kent, WA
About Andrea Johansen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA JOHANSEN (NPI 1720764731) is an individual family provider in Kent, Washington, licensed in Washington (AP61590871) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrea Johansen 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.
Medicare Billing Reassignments
2Medicare enrollment records show Andrea Johansen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tacoma, WA 98402
- Reassigned Medicare billing, Washington enrollment
- 120 clinicians in this Medicare group
Tigard, OR 97223
- Reassigned Medicare billing, Washington enrollment
- 68 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Andrea Johansen's NPI number?
The NPI number for Andrea Johansen is 1720764731. It was assigned to this individual provider in the NPPES registry on June 26, 2023.
Where is Andrea Johansen located?
Andrea Johansen practices at 20618 142nd Ave SE, Kent, WA 98042. The listed phone number is (415) 891-5110.
What is Andrea Johansen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Andrea Johansen enrolled in Medicare?
Yes. Andrea 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.
Which organizations bill Medicare for Andrea Johansen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Johansen reassigns Medicare benefits to 2 organizations: Dispatchhealth Washington PC (Tacoma, WA) and Peacehealth Networks On Demand, LLC (Tigard, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Johansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Johansen accept?
Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Andrea 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.
When was this NPI record last updated?
The NPPES record for Andrea Johansen was last updated on August 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Andrea Johansen · NPI 1720764731
Family physician in Kent, Washington. Individual provider, active in the CMS NPPES registry since June 26, 2023.
## Identity
- **NPI:** 1720764731 (Entity type: Individual)
- **Enumerated:** June 26, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61590871 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20618 142ND AVE SE, Kent, WA 98042-3066
- **Phone:** (415) 891-5110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dispatchhealth Washington PC (NPI 1013490507, Tacoma, WA); Peacehealth Networks On Demand, LLC (NPI 1023582178, Tigard, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1720764731) · Data from the CMS NPPES public registry.