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, and ordering and referring status from the CMS PECOS system.
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.
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.
What insurance does Andrea Johansen accept?
Health plans from 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 23 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.
# 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
- **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.